A patient with Parkinson's disease is treated with levodopa [Parcopa]. During the follow-up visit, the nurse finds that the patient is having an on-off phenomenon caused by the medication. Which findings would likely cause the nurse to come to this conclusion?
A. Sudden increase in respiratory rate
B. Uncontrollable voluntary movements
C. Frequent delusions and hallucinations
D. Suicidal intentions and aggressive behavior
Answer: B. Uncontrollable voluntary movements
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When performing a peripheral vascular assessment on a patient, the nurse is unable to palpate the ulnar pulses. The patient's skin is warm and capillary refill time is normal. Next, the nurse should:
a. Check for the presence of claudication. b. Refer the individual for further evaluation. c. Consider this finding as normal, and proceed with the peripheral vascular evaluation. d. Ask the patient if he or she has experienced any unusual cramping or tingling in the arm.
A nurse who has an obvious physical disability applies for a staff nurse position. Which question, asked by the nurse recruiter, is legal?
1. "How long have you been disabled?" 2. "Are you able to fulfill the requirements of this job?" 3. "How does your disability affect your life?" 4. "Has your condition stabilized, or do you foresee it getting worse with time?"
The spouse of a client with Parkinson's disease expresses frustration with trying to communicate with the client. Which of the following should the nurse do to facilitate communication between the client and spouse?
1. Suggest the spouse obtain a hearing aid 2. Recommend that the client and spouse learn sign language 3. Consult with speech therapy for exercises to aid with speech and language 4. Remind the spouse that silence is not necessarily a bad thing
A patient will begin taking tamoxifen (Nolvadex) to treat breast cancer. The nurse performs a medication history and learns that the patient is taking sertraline (Zoloft) for depression
The nurse will tell the patient to contact her provider to ask about: a. increasing her dose of sertraline. b. changing from sertraline to escitalopram (Lexapro). c. switching from sertraline to fluoxetine (Prozac). d. decreasing her dose of tamoxifen.