A nurse plans care for a client with Parkinson disease. Which ...

[jho37]

A nurse plans care for a client with Parkinson disease. Which intervention should the nurse include in this client's plan of care?
 
  a. Ambulate the client in the hallway twice a day.
  b. Ensure a fluid intake of at least 3 liters per day.
  c. Teach the client pursed-lip breathing techniques.
  d. Keep the head of the bed at 30 degrees or greater.

Question 2

After teaching the wife of a client who has Parkinson disease, the nurse assesses the wife's understanding. Which statement by the client's wife indicates she correctly understands changes associated with this disease?
 
  a. His masklike face makes it difficult to communicate, so I will use a white board.
  b. He should not socialize outside of the house due to uncontrollable drooling.
  c. This disease is associated with anxiety causing increased perspiration.
  d. He may have trouble chewing, so I will offer bite-sized portions.

[Hikerman221]

Answer to Question 1

ANS: D
Elevation of the head of the bed will help prevent aspiration. The other options will not prevent aspiration, which is the greatest respiratory complication of Parkinson disease, nor do these interventions address any of the complications of Parkinson disease. Ambulation in the hallway is usually implemented to prevent venous thrombosis. Increased fluid intake flushes out toxins from the client's blood. Pursed-lip breathing increases exhalation of carbon dioxide.

Answer to Question 2

ANS: D
Because chewing and swallowing can be problematic, small frequent meals and a supplement are better for meeting the client's nutritional needs. A masklike face and drooling are common in clients with Parkinson disease. The client should be encouraged to continue to socialize and communicate as normally as possible. The wife should understand that the client's masklike face can be misinterpreted and additional time may be needed for the client to communicate with her or others. Excessive perspiration is also common in clients with Parkinson disease and is associated with the autonomic nervous system's response.

[jho37]

TYSM

[LVPMS]

Excellent