A client who has Parkinson's disease has a nursing diagnosis of ...

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A client who has Parkinson's disease has a nursing diagnosis of Self-care deficit related to immobility, tremors, and bradykinesia. Which nursing intervention is appropriate?
 
  a. Teach the client's family to administer cleansing enemas.
  b. Limit client attempts at self-care, since this activity tires the client.
  c. Perform personal care activities for the client.
  d. Teach the client and family methods to increase the client's ability to perform self-care.

Question 2

A client tells the nurse about experiencing low back pain that radiates across the buttock and down the leg. The nurse suspects the client has developed a herniated intervertebral disk.
 
  Until the diagnosis is confirmed, the nurse should instruct the client to: a. drink plenty of fluids
  b. lie in bed with the knees slightly flexed
  c. take over-the-counter analgesics
  d. sit in a chair with the legs elevated

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Answer to Question 1

D
Nursing care includes monitoring the client's physiologic and emotional status, preventing falls, ensuring that medication is administered according to a precise schedule, providing active and passive range-of-motion exercises, and helping the client manage self-care deficits. Helping the client's family to understand the condition is important to ensure physical and emotional support for the client.

Answer to Question 2

B
Specific manifestations depend on the area of the spine affected, most commonly the lumbar region, causing low back pain (sciatica) that radiates across the buttocks and down the affected leg; numbness, tingling, and motor weakness are often associated with this pain. Medical management is initially conservative, involving rest, immobility, and pain relief, and may include prescription of anti-inflammatory medications, muscle relaxants, antianxiety medications, or analgesics. Until the diagnosis is confirmed, the client should lie in bed with the knees slightly flexed. Surgery is often required to remove the herniated disk when the conservative approach is unsuccessful.

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TYSM

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