Author Question: When the nurse develops a plan of care for a patient newly diagnosed with Parkinson's disease, the ... (Read 92 times)

pragya sharda · **on:** Jul 23, 2018

When the nurse develops a plan of care for a patient newly diagnosed with Parkinson's disease, the nurse includes what appropriate goal for this patient?

A) Deficient knowledge related to the disease process
B) Increase compliance with drug regimen as evidenced by no missed dosages within 1 week of discharge
C) Risk for injuries related to the disease process
D) Symptom improvement as demonstrated by ability to ambulate the length of the hall within 24 hours of starting medication

Question 2

The nurse is caring for a patient with hypertension who is preparing to be discharged from the hospital after suffering a myocardial infarction.

What drug might the nurse administer that will both treat his hypertension and reduce myocardial oxygen consumption? A) Captopril
B) Losartan
C) Diltiazem
D) Nitroprusside

sabina576 · **Reply #1 on:** Jul 23, 2018

Answer to Question 1

D
Feedback:
One goal of drug therapy is to reduce symptoms to allow for more normal movement involving muscles. Goals should be specific and measurable, so the ability to ambulate the length of the hall is a valid assessment. The patient cannot increase compliance when he or she has not been lacking in compliance because this is a new diagnosis. Deficient knowledge and risk for injury are nursing diagnoses and not goals.

Answer to Question 2

C
Feedback:
Diltiazem inhibits the movement of calcium ions across the membranes of cardiac and arterial muscle cells, depressing the impulse and leading to slowed conduction, decreased myocardial contractility, and dilation of arterioles, which lowers blood pressure and decreases myocardial oxygen consumption. Captopril, losartan, and nitroprusside do not have actions to reduce myocardial oxygen consumption.