The caregiver of a patient with Parkinson disease is concerned with the patient's recent weight loss. The home health nurse should suggest which modification to help the caregiver enhance the patient's nutrition?
a. Provide six mini-meals throughout the day.
b. Be sure to increase milk and cheese daily in the diet.
c. Limit fluid intake in order to increase the appetite.
d. Prepare larger meals of fibrous foods.
A
Mini-meals can be eaten before food cools since it takes longer for the patient with Parkinson disease to eat. Large meals are overwhelming and may become unappetizing before they can be consumed. Reduced fluid and increased dairy products increase the threat of constipation.
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The nurse is caring for a patient who takes nitroglycerin sublingually. When providing patient education, the nurse would tell the patient that she can expect relief of chest pain within what period of time?
A) 1 to 3 minutes B) 5 to 10 minutes C) 15 to 20 minutes D) 30 to 60 minutes
A patient has a decreased oxygen saturation level with Hemoglobin of 9.4 mg/dL. The nurse should be concerned about which of the following occurring with this patient?
1. bleeding 2. reduced lung function 3. pending multisystem organ failure 4. impaired oxygen delivery
A nurse has been asked by the parents of Jim, a schizophrenic who is also an alcoholic, what they can do to help their son prevent relapsing once he is discharged from the hospital
Which of the following would be the best answer the nurse can give at this point? A) "There's really not much you can do; Jim is responsible for maintaining his own sobriety." B) "Avoid letting him take any mood-altering chemicals, as they may trigger his delusional thinking." C) "Make sure he goes to at least two Alcoholics Anonymous meetings a week, gets a sponsor, and calls his sponsor on a daily basis." D) "Report any side effects he develops so they can be treated and therefore won't tempt him to stop taking his antipsychotic medications."
By discharge, which outcome is appropriate for a patient who hears voices telling him he is evil?
a. Respond verbally to the voices. b. Verbalize the reason the voices say he is evil. c. Identify events that increase anxiety and promote hallucinations. d. Integrate the voices into his personality structure in a positive manner.