A client with Parkinson disease develops depression. What ...

[Sufayan.ah]

A client with Parkinson disease develops depression. What education would the nurse provide to the client's family?
 
  1. Depression is a common problem with Parkinson disease.
  2. Depression is very easy to treat, and a wide variety of medications are available.
  3. Eventually anyone who has a brain disease will develop depression.
  4. The depression is most likely a side effect of the medications taken to treat the symptoms.

Question 2

Prior to administering benztropine (Cogentin) to a client, the nurse assesses adverse effects of previous doses and decides to withhold the current dose. Which clinical manifestation would warrant the nurse holding the dose of the medication?
 
  1. A respiratory rate of 14
  2. A blood pressure reading of 88/60 mmHg
  3. A temperature of 100.2F
  4. Distant bowel sounds

[thall411]

Answer to Question 1

Correct Answer: 1
Rationale 1: Over half of the clients with Parkinson disease present with clinical depression.
Rationale 2: Although depression is treatable with medication, stating this does not help the family to understand what is happening to the client.
Rationale 3: Clients with a neurological illness do not always develop depression.
Rationale 4: Medications used to treat Parkinson disease do not cause depression.
Global Rationale: Over half of the clients with Parkinson disease present with clinical depression. Although depression is treatable with medication, stating this does not help the family to understand what is happening to the client. Clients with a neurological illness do not always develop depression. Medications used to treat Parkinson disease do not cause depression.

Answer to Question 2

Correct Answer: 4
Rationale 1: A respiratory rate of 14 is a normal finding.
Rationale 2: Initial hypotension can occur, but is an uncommon finding.
Rationale 3: An elevated temperature is not a side effect of benztropine (Cogentin).
Rationale 4: Paralytic ileus is the only identified life-threatening adverse reaction with this medication. Distant bowel sounds could be an indication of developing paralytic ileus.
Global Rationale: Paralytic ileus is the only identified life-threatening adverse reaction with this medication. Distant bowel sounds could be an indication of developing paralytic ileus. A respiratory rate of 14 is a normal finding. Initial hypotension can occur, but is an uncommon finding. An elevated temperature is not a side effect of benztropine (Cogentin).

[Sufayan.ah]

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[thall411]

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