The nurse is caring for a patient diagnosed with Parkinson's disease who has been prescribed an anticholinergic drug. When are anticholinergic drugs usually added to the therapeutic regimen?
A) When symptoms increase
B) Sporadically to reduce development of toleration to levodopa
C) When levodopa does not elicit a therapeutic response
D) During the end stage of the disease process
C
Feedback:
Although anticholinergics are not as effective as levodopa in the treatment of advancing cases of the disease, they may be useful as adjunctive therapies and for patients who no longer respond to levodopa. They are not withheld until symptoms advance or end-stage symptoms occur and they are not given sporadically.
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A patient is undergoing myelography for assessment of a spinal cord tumor. How should the nurse position the patient for this procedure?
A) Head elevated 30 to 45 degrees B) Head lowered below the level of the feet C) Side-lying with the patient's bed level D) Prone with the patient's bed flat
A home health nurse is providing care to a patient. Which action by the nurse is a physical care technique?
a. Dressing a patient b. Assisting a patient to learn how to shop c. Performing range-of-motion exercises d. Administering cardiopulmonary resuscita-tion
During an assessment, a female patient asks why the nurse is "feeling her armpit.". Which responses are appropriate? Note: Credit will be given only if all correct choices and no incorrect choices are selected. Select all that apply
1. "I'm counting your ribs.". 2. "Don't you feel your own armpits?" 3. "Breast tissue extends into this area.". 4. "I'm assessing hair distribution in this area.". 5. "The armpits should be part of your breast self-exam.".
A nurse has a busy home life and a full-time work schedule and has just been asked to work an overtime night shift. The nurse should recognize that
A) fatigue and lack of sleep can cause errors in care. B) increased hours of work lead to increased competence and confidence. C) rejecting an overtime shift places an unfair burden on coworkers. D) work responsibilities should take precedence over personal responsibilities.