Author Question: The nurse completes teaching for a young adult client diagnosed with Parkinson disease (PD). Which ... (Read 33 times)

asan beg · **on:** Jun 25, 2018

The nurse completes teaching for a young adult client diagnosed with Parkinson disease (PD). Which client statement indicates teaching has been effective?

A) I could have prevented PD with diet and exercise.
B) I probably have a genetic mutation that caused PD.
C) My brain has too much of a chemical called dopamine.
D) Most people get PD when they are my age.

Question 2

A client is evaluated for Parkinson disease (PD). Which findings on the Unified Parkinson Disease Rating Scale (UPDRS) would suggest a positive finding for PD?

Select all that apply.
A) Diarrhea
B) Dystonia
C) Retropulsion
D) Hyperphonia
E) Festination

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

Answer to Question 1

Answer: B

Early-onset Parkinson disease is likely due to a genetic mutation. Increasing age is a risk factor for PD; diagnosis for a young adult is uncommon. In PD there is a deficit of available dopamine. Although a healthy diet avoiding pesticides is recommended, it is not a proven causative agent.

Answer to Question 2

Answer: B, C, E

The UPDRS rates the client in 42 different areas of function. Positive findings for PD are retropulsion (the tendency to fall backward), festination (rapid walking as if trying to run) and dystonia (twisting and repetitive movements). Diarrhea and hyperphonia (loud voice) are not symptoms of PD. Constipation and hypophonia (soft voice) are symptoms of PD.