Author Question: The nurse is evaluating the care of a client with Parkinson disease (PD). Which finding indicates an ... (Read 103 times)

imowrer · **on:** Jun 25, 2018

The nurse is evaluating the care of a client with Parkinson disease (PD). Which finding indicates an improvement in nutritional status?

A) The client was observed providing morning self-care and dressing.
B) The client coughs frequently when drinking fluids.
C) The client was able to feed self and had no weight change in 1 week.
D) The client had a 4-pound weight loss in 1 week.

Question 2

A client with new-onset atrial fibrillation appears very anxious. After reviewing the client's recent laboratory results, the nurse concludes that which might be causing the client's symptoms?

A) A Hgb of 11.0 g/dL
B) A TSH of 0.25 mU/mL
C) A TSH of 18 mU/mL
D) A Hgb of 13.8 g/dL

bimper21 · **Reply #1 on:** Jun 25, 2018

Answer to Question 1

Answer: C

Evidence that interventions to improve the client's nutritional status were effective would be the client's self-feeding with no change in weight. Observing the client with morning self-care and dressing does not evaluate interventions to address nutritional status. If the client coughs frequently when drinking fluids, it could indicate that interventions to address nutritional status have not been effective. The client's losing 4 pounds in 1 week would not support an improvement in nutritional status.

Answer to Question 2

Answer: C

New-onset atrial fibrillation and anxiety are potential symptoms of hyperthyroidism. A TSH level above 5 mU/mL is considered high. The nurse can plan outcomes to relieve the client's anxiety based on this diagnosis. TSH 0.25 mU/mL is indicative of hypothyroidism. Hgb 13.8 g/dL and Hgb 11.0 g/dL are both normal hemoglobin levels.