The nurse is assessing a patient who was prescribed levodopa 1 week earlier. How might the nurse evaluate the effectiveness of drug therapy?
A) Stable mood
B) Psoriasis
C) Drug–drug interactions with dopaminergic agents
D) Improvement in handwriting
D
Feedback:
The nurse would evaluate the patient for improvement in function and reduction in symptoms. With preparations containing levodopa and with dopaminergic agents, assess for improvement in mobility, balance, posture, gait, speech, handwriting, and ability to provide self-care. Drooling and seborrhea may be abolished, and mood may be elevated. Stable mood and psoriasis are not findings associated with Parkinson's disease. Assessing for drug–drug interactions is an important nursing assessment but it is not related to evaluating effectiveness of the drug.
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A patient in the ICU with pneumonia and on mechanical ventilation is suspected to have pulmonary embolus. Which diagnostic study would be best for assessing for this condition?
A) Chest radiography B) Ventilation-perfusion scanning C) Pulmonary angiography D) Bronchoscopy
A helping relationship develops through ongoing, purposeful interaction between a nurse and a patient. Nurse-patient relationships focus on: (Select all that apply.)
a. building trust. b. demonstrating empathy. c. tearing down boundaries. d. developing a plan of care.
An older homeless patient is admitted to the hospital. The patient has no known family, is unresponsive, and his condition is considered guarded. What should be done to ensure appropriate healthcare decisions are made for this patient?
1. The homeless shelter will provide direction. 2. The patient will be represented by the hospital social worker. 3. The hospital will make decisions for the patient's healthcare. 4. The hospital will ask a judge to appoint a guardian for the patient.
What is the research purpose?
a. This study was undertaken to explore the effect of massage on total hours of sleep per 24-hour day, in persons averaging fewer than 7 hours of sleep per night, attributable to insomnia. b. It was posited that provision of daily late-morning massage would affect total hours of sleep per 24-hour day. c. Presumably by increasing endorphin levels, massage seems to provide an immediate relaxation and an ability to sleep immediately following the session, but it is unclear whether these benefits actually extend to total sleep, despite anecdotal support. The claim that massage increases total hours of sleep has been inadequately researched. d. The study's causational explanation was based on the physiologic matrix of McCarthy, which includes effects of endorphins on sleep, learning ability, pain, digestive function, and cardiac output.