Author Question: A patient with Parkinson's disease is admitted to the hospital for treatment of pneumonia. Which ... (Read 45 times)

littleanan · **on:** Jun 25, 2018

A patient with Parkinson's disease is admitted to the hospital for treatment of pneumonia. Which nursing interventions will be included in the plan of care (select all that apply)?

a. Use an elevated toilet seat.
b. Cut patient's food into small pieces.
c. Provide high-protein foods at each meal.
d. Place an armchair at the patient's bedside.
e. Observe for sudden exacerbation of symptoms.

Question 2

A 27-year-old patient who has been treated for status epilepticus in the emergency department will be transferred to the medical nursing unit. Which equipment should the nurse have available in the patient's assigned room (select all that apply)?

a. Side-rail pads
b. Tongue blade
c. Oxygen mask
d. Suction tubing
e. Urinary catheter
f. Nasogastric tube

bfulkerson77 · **Reply #1 on:** Jun 25, 2018

Answer to Question 1

ANS: A, B, D
Because the patient with Parkinson's has difficulty chewing, food should be cut into small pieces. An armchair should be used when the patient is seated so that the patient can use the arms to assist with getting up from the chair. An elevated toilet seat will facilitate getting on and off the toilet. High-protein foods will decrease the effectiveness of L-dopa. Parkinson's is a steadily progressive disease without acute exacerbations.

Answer to Question 2

ANS: A, C, D
The patient is at risk for further seizures, and oxygen and suctioning may be needed after any seizures to clear the airway and maximize oxygenation. The bed's side rails should be padded to minimize the risk for patient injury during a seizure. Use of tongue blades during a seizure is contraindicated. Insertion of a nasogastric (NG) tube is not indicated because the airway problem is not caused by vomiting or abdominal distention. A urinary catheter is not required unless there is urinary retention.