A nurse delegates care for a client with Parkinson disease to an ...

[jjjetplane]

A nurse delegates care for a client with Parkinson disease to an unlicensed assistive personnel (UAP). Which statement should the nurse include when delegating this client's care?
 
  a. Allow the client to be as independent as possible with activities.
  b. Assist the client with frequent and meticulous oral care.
  c. Assess the client's ability to eat and swallow before each meal.
  d. Schedule appointments early in the morning to ensure rest in the afternoon.

Question 2

A nurse plans care for a client with epilepsy who is admitted to the hospital. Which interventions should the nurse include in this client's plan of care? (Select all that apply.)
 
  a. Have suction equipment at the bedside.
  b. Place a padded tongue blade at the bedside.
  c. Permit only clear oral fluids.
  d. Keep bed rails up at all times.
  e. Maintain the client on strict bedrest.
  f.
  Ensure that the client has IV access.

[vboyd24]

Answer to Question 1

ANS: A
Clients with Parkinson disease do not move as quickly and can have functional problems. The client should be encouraged to be as independent as possible and provided time to perform activities without rushing. Although oral care is important for all clients, instructing the UAP to provide frequent and meticulous oral is not a priority for this client. This statement would be a priority if the client was immune-compromised or NPO. The nurse should assess the client's ability to eat and swallow; this should not be delegated. Appointments and activities should not be scheduled early in the morning because this may cause the client to be rushed and discourage the client from wanting to participate in activities of daily living.

Answer to Question 2

ANS: A, D, F
Oxygen and suctioning equipment with an airway must be readily available. The bed rails should be up at all times while the client is in the bed to prevent injury from a fall if the client has a seizure. If the client does not have an IV access, insert a saline lock, especially for those clients who are at significant risk for generalized tonic-clonic seizures. The saline lock provides ready access if IV drug therapy must be given to stop the seizure. Padded tongue blades may pose a danger to the client during a seizure and should not be used. Dietary restrictions and strict bedrest are not interventions associated with epilepsy. The client should be encouraged to eat a well-balanced diet and ambulate while in the hospital.