The nurse is assessing a patient with Parkinson disease. Which ...

[mwit1967]

The nurse is assessing a patient with Parkinson disease. Which statement likely characterizes this patient's tremors?
 
  a. Tremors occur constantly.
  b. Tremors decrease with voluntary move-ment.
  c. Tremors are absent when the body is at rest.
  d. Tremors are characterized by tonic/clonic muscle activity.

Question 2

The nurse is caring for a patient during the first postoperative day. Which goal works to prevent atelectasis and is most appropriate for the nursing care plan?
 
  a. Patient will turn, cough, and deep-breathe every 4 hours.
  b. Patient will huff-cough every 2 hours.
  c. Patient will use the incentive spirometer twice a day.
  d. Patient will resume diet as soon as possi-ble.

[Cnarkel]

Answer to Question 1

B
Tremors in Parkinson disease decrease with voluntary movement, are absent during sleep, and occur when the body is at rest. Parkinsonian muscle activity is that of pill rolling. Tonic/clonic movement is associated with seizures.

Answer to Question 2

B
Bi-hourly coughing will help prevent atelectasis. The patient should turn, cough, and deep-breathe every 2 hours, and the incentive spirometer should ideally be used every hour. Re-suming diet does not prevent atelectasis, and as soon as possible is not a measurable amount.