Questions and Answers
Which of the following are expected findings in a client who has Parkinson's disease? (Select all that apply)
Which actions should the nurse include in the care plan for a client who has stage 4 Parkinson's disease? (Select all that apply)
For which of the following should the nurse monitor in a client starting therapy with bromocriptine (Parlodel)? (Select all that apply)
Which is an appropriate action by the nurse for a client with Parkinson's disease displaying manifestations of bradykinesia?
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Study Notes
Expected Findings in Parkinson's Disease
- Pill-rolling tremor: Characteristic tremor of fingers due to basal ganglia overstimulation by acetylcholine.
- Shuffling gait: Common in Parkinson's patients, results from controlled movement difficulties.
- Lack of facial expressions: Known as "masked face," it occurs due to movement difficulties influenced by basal ganglia.
Nutritional Care for Stage 4 Parkinson's Disease
- Small frequent meals: Recommended to improve nutrition and minimize frustration while eating.
- Daily recording of diet and fluid intake: Essential for monitoring nutritional requirements and hydration.
- Weekly weight documentation: Important for tracking weight changes and addressing potential weight loss.
- Thickener for liquids: Aids in preventing aspiration due to swallowing difficulties.
- Nutritional supplements: Should be offered between meals to help maintain the client's weight.
Monitoring for Bromocriptine (Parlodel) Therapy
- Dyskinesias: Monitor for tremors or twitching, common adverse effects of this medication.
- Orthostatic hypotension: Risk of low blood pressure upon standing; requires careful monitoring.
- Constipation: A notable side effect, necessitating attention to bowel health.
- Insomnia and darkened urine: Not commonly associated with bromocriptine; darkened urine more linked to entacapone.
Nursing Care for Bradykinesia in Parkinson's Disease
- Allow extra response time: Important for communication, but not specific to bradykinesia management.
- Active range-of-motion exercises: Preferred to promote mobility rather than passive exercises.
- Alternative communication methods: Can be useful, but not necessarily related to bradykinesia.
- Assistance with hygiene: Necessary due to the slowed movement associated with bradykinesia.
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Description
Test your knowledge on the expected findings in clients with Parkinson's disease. This quiz covers key symptoms such as tremors, gait, and facial expressions associated with the condition. Enhance your understanding and prepare for clinical situations involving Parkinson's disease.
