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Questions and Answers
Which of the following are expected findings in a client who has Parkinson's disease? (Select all that apply)
Which of the following are expected findings in a client who has Parkinson's disease? (Select all that apply)
- Lack of facial expressions (correct)
- Decreased vision
- Bilateral ankle edema
- Pill-rolling tremor of the fingers (correct)
- Shuffling gait (correct)
Which actions should the nurse include in the care plan for a client who has stage 4 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)
- Record diet and fluid intake daily (correct)
- Provide three large balanced meals daily
- Document weight every other week
- Offer nutritional supplements between meals (correct)
- Add thickener to liquids (correct)
For which of the following should the nurse monitor in a client starting therapy with bromocriptine (Parlodel)? (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)
- Darkened urine
- Orthostatic hypotension (correct)
- Dyskinesias (correct)
- Constipation (correct)
- Insomnia
Which is an appropriate action by the nurse for a client with Parkinson's disease displaying manifestations of bradykinesia?
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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