An adult client, diagnosed with Parkinson disease, has been prescribed levodopa. What nursing observations would indicate that the medication is working?
1. Increased strength on affected side
2. Blood pressure changes from 180/90 to 140/80mmHg.
3. Urine output increases to 60 mL per hour.
4. Decrease in tremors in upper extremities
4
Rationale 1: This is a symptom of a CVA, not of Parkinson disease.
Rationale 2: Levodopa does not decrease blood pressure.
Rationale 3: Levodopa does not increase urine output.
Rationale 4: Levodopa would decrease tremors in upper extremities.
Global Rationale: Levodopa would decrease tremors in upper extremities. Decreased strength on affected side is symptom of a CVA, not of Parkinson disease. Levodopa does not decrease blood pressure. Levodopa does not increase urine output.
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The nurse is providing health education on the body's ability to exchange oxygen and carbon dioxide through the alveolar capillary membrane. Which statement, provided by the nurse, is most correct when asked about diffusion during inspiration?
A) During inspiration, the concentration of oxygen is equal in both the alveoli and the capillaries. B) During inspiration, oxygen diffuses from the arterial system through to the alveolar capillary membrane. C) During inspiration, carbon dioxide provides the basis for all diffusion gradients. D) During inspiration, oxygen is greater in the alveoli than in the capillaries.
A new mother asks, "Why should I bring my baby in for a checkup? He isn't sick." Which is the nurse's best response?
a. "Please ask your pediatrician to explain this to you." b. "He may have a problem that you haven't identified." c. "These visits are required by law to identify communicable diseases." d. "Well-baby visits allow the doctor to determine whether your baby is growing and developing normally."
All of the following statements about the Beer's List are true except:
1. It is a list of medications or medication classes that should generally be avoided in persons 65 years or older because they are either ineffective or they pose unnecessarily high risk for older persons and a safer alternative is available. 2. It is derived from the expert opinion of one geriatrician and is not evidence-based. 3. These criteria have been adopted by the Centers for Medicare and Medicaid Services for regulation of long-term care facilities. 4. These criteria are directed at the general population of patients over 65 years of age and do not take disease states into consideration.
When assessing a community from a developmental framework, what data must the nurse seek to determine?
A. The demographics (such as age) of the persons living in the community B. The emotional maturity of the community's residents C. The history of the community D. The number and quality of day care centers and schools