Author Question: When explaining the pathophysiology of Parkinson disease to a client, the nurse would explain that ... (Read 38 times)

bobbysung · **on:** Jul 23, 2018

When explaining the pathophysiology of Parkinson disease to a client, the nurse would explain that it is a degenerative disorder of the nervous system caused by the death of neurons that produce which substance?

1. Acetylcholine
2. Serotonin
3. Norepinephrine
4. Dopamine

Question 2

When assessing a client for the typical signs and symptoms of Parkinson disease, which clinical manifestations would the nurse expect to find?

1. Tremors, a masklike facial expression, and a rigid posture
2. Shuffling gait, confusion, and postural instability
3. Tremors and hyperkinesia
4. A masklike expression and generalized muscle weakness

ririgirl15 · **Reply #1 on:** Jul 23, 2018

Answer to Question 1

Correct Answer: 4
Rationale 1: Parkinson disease is not caused by the death of neurons that produce acetylcholine.
Rationale 2: Parkinson disease is not caused by the death of neurons that produce serotonin.
Rationale 3: Parkinson disease is not caused by the death of neurons that produce norepinephrine.
Rationale 4: Symptoms of Parkinson disease develop due to the destruction of the dopamine-producing neurons located in the substantia nigra. These neurons supply dopamine to the corpus striatum, the region of the brain that controls unconscious muscle movement.
Global Rationale: Symptoms of Parkinson disease develop due to the destruction of the dopamine-producing neurons located in the substantia nigra. These neurons supply dopamine to the corpus striatum, the region of the brain that controls unconscious muscle movement. Parkinson disease is not caused by the death of neurons that produce acetylcholine, serotonin, or norepinephrine.

Answer to Question 2

Correct Answer: 1
Rationale 1: The classic symptoms of Parkinson disease are tremors, muscle rigidity, bradykinesia, and postural instability.
Rationale 2: Confusion is not a typical sign of Parkinson disease.
Rationale 3: Hyperkinesia is not a typical sign of Parkinson disease.
Rationale 4: Generalized muscle weakness is not a typical sign of Parkinson disease.
Global Rationale: The classic symptoms of Parkinson disease are tremors, muscle rigidity, bradykinesia, and postural instability. Confusion, hyperkinesias, and generalized muscle weakness are not typical signs of Parkinson disease.