Assessment
Tremor tends to occur in the hands and is often described as?
Pill-rolling
Which symptoms are relieved when a patient with PD takes selegiline?
Bradykinesia, rigidity, tremor
What is 1 of out of 4 important goals to help patients manage their Parkinson’s disease?
Can be one of these 4 answers:
- Experience a lower intensity & frequency of distressing symptoms
- Maximize neurological
- Maintain independence in activities of daily living
- Optimize psychosocial well-being
The attending nurse notices Patient X tends to “freeze” while she walks. Which symptom has the nurse identified?
akinesia
What are the different forms of Parkinsonism ?
Parkinsonism-like symptoms, Drug-induced Parkinsonism
While assessing a patient with Parkinson's Disease, you note the patient's arms slightly jerk as you passively move them toward the patient's body. This is known as:
Cogwheel Rigidity
What are the adverse effects and precautions of Diphenhydramine (Benadyrl)?
Adverse effect - Sedation
Precaution - avoid drugs with similar actions
When planning care for a patient with Parkinson’s disease, what is the priority nursing action from the following?
A. facilitate brain-stimulating activities
B. promote physical exercise
C. providing education on the benefits of a healthy diet
D. ensure timely medication administration
E. promote pt. independence and autonomy
D. ensure timely medication administration
When creating nursing interventions for a patient diagnosed with PD, how should the nurse prioritize?
the nurse should place priority on interventions that manage the symptoms the client reports to have the most difficulty with
When treating a patient diagnosed with PD, what are the three collaborative therapies used to manage the symptoms ?
Nutritional, Drug and Surgical Therapy
During an interview with a patient with a diagnosis of PD, which of the following speech patterns will the healthcare provider anticipate?
A. Pressured and hurried
B. Slow, slurred, and monotone
C. Bubbly and spirited
D. Clear and rhythmic
B. Slow, slurred, and monotone
Which drug is typically the first drug to be given to patients with PD?
Levodopa-Carbidopa (Sinemet)
What approaches are helpful for reducing stress and anxiety in patients with Parkinson’s disease?
psychotherapy, relaxation techniques, cognitive behavioural therapy, counselling
A nurse is assisting his 60 year-old patient perform ADL’s. The nurse observes that the patient has trouble walking and completing ADLs related to frequent pauses and slowness in the patient’s movements. What interventions can promote safe ambulation and maintain joint mobility? Select all that apply.
A. assist patient with ambulation
B. massage patient’s neck and and facial muscles
C. teach techniques that aid patient mobility
D. consult PT and OT
A. assist patient with ambulation
C. teach techniques that aid patient mobility
D. consult PT and OT
What are three non- motor symptoms experienced by patients diagnosed with PD?
Depression
Constipation: digestion slows down
Loss of smell
You're providing free education to a local community group about the signs and symptoms of Parkinson's Disease. Select all the signs and symptoms a patient could experience with this disease:
A. Increased Salivation
B. Loss of smell
C. Constipation
D. Tremors with purposeful movement
E. Shuffling of gait
F. Freezing of extremities
G. Euphoria
H. Coordination issues
B. Loss of smell
C. Constipation
E. Shuffling of gait
F. Freezing of extremities
H. Coordination issues
Name 1 out of 3 nursing considerations to note of when taking Levodopa-Carbidopa (Sinemet)?
(any of the following)
Patient should be monitored for signs of dyskinesia
Effects may be delayed for weeks to months
Report any uncontrolled movement of the face, eyelids, mouth, tongue, arms, hands, legs, mental changes, palpitations, nausea and vomiting, and difficulty voiding
When caring for a patient who is taking Carbidopa-Levodopa to treat the symptoms of Parkinson’s disease, what primary adverse effect are we monitoring our client for?
dyskinesia
A patient exhibits small, cramped writing and slow, slurred speech. Which of the following nursing interventions should be performed? Select all that apply.
A. provide picture books and flash cards
B. encourage deep breathing prior to speaking
C. suggest patient participate in mindfulness activities
D. allow time for patient to talk
A. provide picture books and flash cards
B. encourage deep breathing prior to speaking
D. allow time for patient to talk
What are the three categories of Surgical therapy and explain one.
Ablation
Deep Brain Stimulation
Transplantation
Which of the following adverse effects should the healthcare provider inquire about when assessing a patient who is receiving an anticholinergic medication for the treatment of PD? Select all that apply.
A. Dry Mouth
B. Bruising
C. Constipation
D. Dry eyes
E. Bradycardia
F. Urinary Retention
A. Dry Mouth
C. Constipation
D. Dry eyes
F. Urinary Retention
Name 2 contraindications of Levodopa-Carbidopa (Sinemet)?
(any of the following)
Hypersensitivity
malignant melanoma
history of malignant melanoma
undiagnosed skin lesions that resembles melanoma
Clients taking Levodopa should avoid and/or limit what in their diet?
vitamin B6 & protein
500 Q – State 1 intervention related to the following nursing diagnosis, and explain your rationale.
Deficient diversional activity related to inability to perform usual recreational activities.
(can be any of the following)
- assess patient’s diversional activity
- determine preferred diversional activities
- adapt difficult activities when possible
- initiate new activities within patient’s capabilities
- encourage pt to discuss emotional response to decreasing capabilities
What are the 5 classification of Drug Therapy ?
→ Dopaminergic: Levodopa (L-dopa), Carbidopa (sinemet)
- Anticholinergics: i.e. benztropine
- Antihistamines: Diphenhydramine
- Monoamine Oxidase inhibitor: Selegiline
- Catechol-O-Methyltransferase Inhibitor: Entacapone