Application Exercises
Med Surg Final Exam ATI Questions.
1. A nurse is caring for a client who displays signs of stage III
Parkinson’s disease. Which of the following actions should the nurse include in the plan of care?
A. Recommend a community support group.
B. Integrate a daily...
application exercises med surg final exam ati questions 1 a nurse is caring for a client who displays signs of stage iii parkinson’s disease which of the following actions sh
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Med Surg Final Exam ATI Questions.
, Chapter 7
Application Exercises
Med Surg Final
Med Surg Final Exam ATI 3. Exam ATI Questions.
5. A nurse is reinforcing teaching A nurse is caring for a client
Questions. with a client who has Parkinson’s who has Parkinson’s disease and
disease and has a new is starting to display
1. A nurse is caring for a client prescription for bromocriptine. bradykinesia. Which of the
who displays signs of stage III Which of the following following is an appropriate
Parkinson’s disease. Which of the instructions should the nurse action by the nurse?
following actions should the include in the teaching? A. Teach the client to walk more
nurse include in the plan of care? A. Rise slowly when standing. quickly when ambulating.
A. Recommend a community B. Expect urine to become B. Complete passive
support group. dark-colored. range-of-motion exercises daily.
B. Integrate a daily C. Avoid foods containing C. Place the client on a
exercise routine. tyramine. low-protein, low-calorie diet.
C. Provide a walker for D. Report any skin discoloration. D. Give the client extra time
ambulation. to perform activities.
D. Perform ADLs for the client. 4. A nurse is assessing a client for
manifestations of Parkinson’s disease.
2. A nurse is developing a plan of Which of the following are expected
care for the nutritional needs of a findings? (Select all that apply.)
client who has stage IV A. Decreased vision
Parkinson’s disease. Which B. Pill-rolling tremor of the fingers
actions should
the nurse include in the plan C. Shuffling gait
of care? (Select all that apply.) D. Drooling
A. Provide three large E. Bilateral ankle edema
balanced meals F. Lack of facial expression
daily.
B. Record diet and
fluid intake daily.
C. Document weight
every other week.
D. Place the client in Fowler’s
position to eat.
E. Offer nutritional supplements
between meals.
,RN ADULT MEDICAL SURGICAL NURSING CHAPTER 7 PARKINSON’S DISEASE 43
, Chapter
7
Application Exercises Key PRACTICE Active Learning Scenario
1. A. The client/family should be involved in a community support
group at the onset of the disease process to enhance coping
A nurse is preparing a plan of care for a client who has a new diagnosis of
mechanisms.
Parkinson’s disease. What should the nurse include in the plan of care?
B. The client should perform daily exercises with the onset of the Use the ATI Active
disease process to promote mobility and independence for as long as
Learning Template: System Disorder to complete this item.
possible.
C. CORRECT: The client should use a walker for ALTERATION IN HEALTH (DIAGNOSIS):
ambulation in stage III of Parkinson’s disease because Define Parkinson’s disease.
movement
slows down significantly and gait disturbances occur. COMPLICATIONS: Identify four.
D. The client loses ability to perform ADLs during stage V NURSING CARE: Describe six nursing actions.
of Parkinson’s disease and is dependent on others for
care at that time. During earlier stages, the client should
be encouraged to remain as independent as possible.
NCLEX® Connection: Safety and Infection Control,
Accident/Error/Injury Prevention
2. A. The nurse should plan to provide small frequent
meals during the day to maintain adequate nutrition.
B. CORRECT: The nurse should record the client’s
diet and fluid intake daily to assess for dietary needs PRACTICE Answer
and to maintain adequate nutrition and hydration.
C. The nurse should document the client’s weight weekly to identify Using the ATI Active Learning Template: System Disorder
weight loss and intervene to maintain the client’s weight.
ALTERATION IN HEALTH (DIAGNOSIS): Parkinson’s disease is a debilitating
D. The nurse should ensure that the client is sitting condition that progresses to complete dependent care. The disease involves a
upright for meals rather than in a supported Fowler’s decrease in dopamine
position, where the client’s head is elevated to 45 to production and an increase in secretion of acetylcholine, causing resting
60°. tremor, slowed movement, and muscular rigidity.
E. CORRECT: The nurse should offer nutritional
COMPLICATIONS
supplements between meals to maintain the client’s
weight. Aspiration due to pharyngeal muscle involvement making swallowing difficult
Orthostatic hypotension, slow movement, and muscle rigidity
NCLEX® Connection: Basic Care and Comfort, Change in speech pattern: slow, monotonous speech
Nutrition and Oral Hydration Altered emotional changes that can include depression and fear
3. A. CORRECT: Orthostatic hypotension is a common adverse effect of NURSING CARE
bromocriptine, a dopamine receptor agonist. Therefore, rising slowly Add thickener to liquids to prevent aspiration.
when standing up will decrease the risk of dizziness and Consult with a dietitian about appropriate diet.
lightheadedness. Encourage periods of rest between activities.
B. The client should expect urine to turn dark when Allow adequate time to rise slowly from a sitting to standing position.
taking entacapone, a COMT inhibitor. Dark urine is Encourage slower speech when expressing thoughts.
not an expected finding when taking bromocriptine. Observe for signs of depression and dementia.
C. The client should avoid tyramine in the diet when taking
NCLEX® Connection: Physiological Adaptation, Illness Management
selegiline, a monoamine type B inhibitor. However,
bromocriptine does not interact with foods that contain
tyramine.
D. Skin discoloration is an adverse effect of amantadine, an anti-viral
medication. However it is not an adverse effect of bromocriptine.
NCLEX® Connection: Pharmacological and Parenteral Therapies,
Adverse Effects/Contraindications/Side Effects/Interactions
4. A. Decreased vision is not an expected finding in a client who has PD.
B. CORRECT: The client who has PD can manifest pill-rolling
tremors of the fingers due to overstimulation of the basal
ganglia by acetylcholine, making controlled movement difficult.
C. CORRECT: The client who has PD can manifest
shuffling gait because of overstimulation of the basal
ganglia by acetylcholine, making controlled movement
difficult.
D. CORRECT: The client who has PD can manifest drooling because
of overstimulation of the basal ganglia by acetylcholine, making
the controlled movement of swallowing secretions difficult.
E. Bilateral ankle edema is not an expected
finding in a client who has PD, but can be an
adverse effect of certain medications used for
treatment.
F. CORRECT: The client who has PD can manifest a lack of
facial expressions due to overstimulation of the basal
ganglia by acetylcholine, making controlled movement
difficult.
5. A. The client who has PD develops a propulsive gait and tends to walk
increasingly rapidly. The client should be reminded to stop
occasionally when walking to prevent a propulsive gait and decrease
the risk for falls.
B. The nurse should encourage active, not passive,
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