Intervention 1
feeding/drinking interventions with the patient experiencing dysphagia?
what is
- semisolid foods
- thick liquids
- tuck chin
- sit up right
the nurse would understand that encouraging the patient to eat a diet with moderate amounts of fiber would be appropriate. T/F?
referring to the cardiovascular system, the nurse knows to observe for which complication?
what is OH
Trihexyphenidyl Hydrochloride and Benzatropine Mesylate belong to which group of medication and what is the desired effect?
what is Anticholinergics and they control tremors in early PD
after reviewing the patient's MAR, the nurse knows that these medications belong to which class: bromocriptine mesylate, pergolide, ropinirole, pramipexole, levodopa, and apomorphine
what is Dopamine Agonists
what might the nurse expect to do before a meal with a patient with PD?
the nurse should instruct the patient to chew in which way?
what is chew on one side of the mouth and then the other
while helping a patient with PD ambulate in the hallway, the patient suddenly stops in their tracks and becomes glued looking at the nurses station. the nurse would recognize this as?
what is freezing phenomenon
which 2 antidepressants would the nurse recognize as being indicated for the treatment of PD?
what is Selegiline and Rasagiline
the nurse knows to monitor for hypotension in the patient taking Levodopa. T/F?
while ambulating a client with PD instruct the patient to watch what?
what is horizon
the HCP asks the nurse taking care of a PD patient if they are showing signs cogwheel rigidity, the nurse would know that cogwheel rigidity is observed in which area of the body?
what is wrist/elbow
the patient is taking Levodopa, what would the nurse plan to educate the patient on regarding the effectiveness of Levodopa?
what is the beneficial effects usually are best within the first year or 2 of treatment
would the nurse expect to make slow position changes with patients with PD, if yes, why?
what is yes due to OH
the patient taking trihexyphenidyl hydrochloride would need to be educated on which side effects? SATA
A. Blurred vision
B. Urinary retention
C. Pale clammy skin
D. Acute confusion
E. Constipation
what is A, B, D, E
the patient is prescribed Levodopa, the nurse would expect to educated the patient accordingly regarding to protein in their diet?
what is don't take with high protein
define the following terms:
- dyskinesia
- akinesia
- dysphonia
- dysphagia
- bradykinesia
what is
- difficulty moving
- no movement
- abnormal voice
- difficulty swallowing
- slow movements
why might a patient diagnosed with PD be prescribed Amantadine Hydrochloride?
what is to reduce tremors, rigidity, bradykinesia, and postural changes
the medication, Levodopa, is usually paired with which medication?
what is Carbidopa
label these interventions as indicated, contraindicated, or nonessential
- while ambulating encourage the pt to swing their arms
- while ambulating raise feet, heel to toe placement, along with long strides
- assist the client with taking a cool bath to help prevent hyperthermia
- have the patient walk to the nurses station while watching their feet to ensure proper step length
- have the patient perform insert eye drops themselves to ensure independence
what is
- indicated
- indicated
- contraindicated
- contraindicated
- nonessential
label the interventions as indicated, contraindicated, or nonessential
- raised toilet seat
- restrict fluids until bowels return to normal
- provide mashed potatoes as a side for dinner
- allow the pt to have alone time during supper to relax and enjoy a warm meal
- restrict the patient from seeing family members during meal times
what is
- indicated
- contraindicated
- indicated
- contraindicated
- nonessential
5 cardinal signs of PD?
what is
- tremor
- rigidity
- bradykinesia
- akinesia
- postural instability
the nurse understands which Dopamine Agonist is the most effective?
what is Levodopa
the nurse enters the room to find a parkinsons patient practicing walking while his high school marching band is playing their music. what should the nurse do next?
a. call the HCP and request a psych consult
b. encourage/assist the pt
c. ask the client to remain in bed and to not get up
d. ask the client why he is performing such behavior
what is B