Author Question: A client with Parkinson's disease is undergoing treatment in a health care facility. Which of the ... (Read 36 times)

nummyann · **on:** Jul 23, 2018

A client with Parkinson's disease is undergoing treatment in a health care facility. Which of the following nursing interventions should the nurse perform as part of the client's ongoing assessment?

A) Assess the client for ability to perform the daily activities.
B) Observe the current mental condition of the client.
C) Observe the client for various neuromuscular signs.
D) Prepare a baseline for future evaluations of the client's drug therapy.

Question 2

A nurse is assigned to care for a client who is to receive a cholinergic blocking drug. The nurse obtains the history from the client. Which of the following would alert the nurse to the need for cautious administration?

A) The client has a decreased liver function.
B) The client has a history of hallucinations or psychosis.
C) The client has a cardiovascular disease.
D) The client has a pulmonary disease.

guyanai · **Reply #1 on:** Jul 23, 2018

Answer to Question 1

Ans: C
Feedback:
The nurse should evaluate the client's response to drug therapy by observing the client for various neuromuscular signs to compare these observations with the data obtained during the initial physical assessment. The nurse should assess the client's ability to perform daily activities and observe the client's current mental condition before the drug is administered to the client as part of the preadministration assessment. During the preadministration assessment, before starting the drug therapy, the nurse also performs a physical assessment of the client to provide a baseline for future evaluations of drug therapy.

Answer to Question 2

Ans: A
Feedback:
It is important for the nurse to know if the client has decreased liver or kidney function so that the cholinergic blocking drug can be administered cautiously in the client. Other conditions in clients that require cautious use include tachycardia, cardiac arrhythmias, hypertension, hypotension, tendency toward urinary retention, and obstructive disease of the urinary system or gastrointestinal tract. The cholinergic blocking drugs are given with caution to older adults. The nurse should use dopamine receptor agonist drugs with caution in clients with a history of hallucinations or psychosis or cardiovascular disease. The nurse should use dopaminergic drugs with caution in clients with pulmonary diseases.