A client with Parkinson's disease tells the nurse that it is 1950 ...

[big1devin]

A client with Parkinson's disease tells the nurse that it is 1950 and he is late for work. Which of the following should the nurse do to assist this client?
 
  1. Medicate for confusion
   2. Apply restraints so the client will not attempt to get out of bed to go to work
   3. Orient the client, provide a calendar, and place a clock in the room
   4. Ask the client what life is like in 1950

Question 2

The patient is diagnosed with a neuropathy. What drug is likely to be most effective in treating this type of pain?
 
  a. morphine c. NSAID
  b. codeine d. anticonvulsant

[sarajane1989]

Answer to Question 1

3. Orient the client, provide a calendar, and place a clock in the room

Rationale:
Clients with Parkinson's disease may demonstrate confusion and disorientation. This is what the client is demonstrating. The nurse should orient the client, provide a calendar, and place a clock in the room to assist with ongoing orientation. The nurse should not medicate the client for confusion nor apply restraints. The nurse should not feed into the confusion by asking what life is like in 1950.

Answer to Question 2

D
Anticonvulsant medications administered to a patient in pain are considered adjuvant medications. Anticonvulsants suppress the spontaneous neuronal firing which causes the sharp neuropathic pain.