question

The nurse assesses a client with Parkinson's disease. Which of the following symptoms are unexpected, requiring immediate f/u

answer

Hypoglycemia

question

The nurse plans the care for the hospice client with end-stage Parkinson's disease. Which of the following symptoms should the nurse expect to incorporate into the nursing care plan

answer

Bradykinesia

question

The home care nurse plans the environment of the client with Parkinson's disease. Which of the following should the environment include

answer

Shower with nonslip surface and rails

question

The nurse monitors a group of older adults exercising at the wellness center. For which of the following new assessment findings should the nurse immediately call first responders

answer

Inability to speak and imbalance

question

The nurse assesses the members of a senior center. For which of the following new findings should the nurse require immediate f/u by the PCP.

answer

Numbness of hands

question

The nurse presents at a seminar on neurologic health issues in older adults. Which of the following data should the nurse include in the presentation

answer

A low body mass index reduces the risk of neurovascular disease

question

The nurse provides for the care of the client after CVA with expressive aphasia. Which of the following interventions should be the priority intervention

answer

Devise a picture chart for the patient to point for requests

question

During a health promotion seminar, a nurse is teaching a group of older adults at a senior center about some of the normal changes that accompany the aging the process. Which of the following statements about the effects of aging on the nervous system is most accurate

answer

Your brain actually becomes smaller as you age and this affects how quickly older adults react

question

An 83-year-old resident of a nursing facility worked as a chef until retirement. The resident told the nurse "I am greatly disappointed that food just doesn't taste as good as it used to." Which of the following facts should underlie the response that then nurse chooses?"

answer

The function of the cranial nerves mediating taste declines with age

question

During a neurologic evaluation, the nurse practitioner has asked an 83-year-old client to draw the face of the clock and then tell the nurse what time the clock reads. Which of the following assessment findings would be most indicative of expressive aphasia?

answer

The client draws a clock but is unable to state the time.

question

During a health promotion class, a group of older adults ask the nurse to teach them measures that they can take to foster neurologic health. What should the nurse tell the group?

answer

"Quitting smoking and maintaining a healthy body weight can cut your risk of neurological diseases."

question

A 79-year-old male patient has a number of health problems, including Parkinson's disease. Which of the following signs and symptoms would the nurse attribute to the client's diagnosis of Parkinson's disease? (select all that apply)

answer

The patient moves slowly and has poor balance The client shuffles when walking The patient's face is less expressive than when healthy The patient is emotionally unstable

question

A nurse who provides care in a long-term facility is working with a 78-year-old resident who has a diagnosis of Parkinson's disease. Which of the following aspects of the care the nurse provides should be reconsidered or modified?

answer

The nurse phrases questions and directions in a simple and understandable manner applicable to the client's decreased cognition

question

A 77-year-old patient has been brought to the emergency department by the daughter due to recent visual disturbances and unilateral weakness. The diagnosis workup has led the diagnosis of transient ischemic attacks (TIAs). Which of the following patient history most likely contributed to the patient's current health problem?

answer

The woman is a smoker and takes antihypertensive medications

question

A nurse is providing care for an 80-year-old patient who experienced an ischemic cerebrovascular accident (CVA) 3 weeks prior. Which of the following nursing actions is most likely to appropriately address the cognitive changes that have accompanied the patient's stroke?

answer

Talk to the patient and give explanations while performing routine care tasks

question

Which of the following patients on a subacute geriatric medicine unit is likely at the highest risk for experiencing a cerebrovascular accident (CVA)?

answer

Mr. L, age 79, who has poorly controlled hypertension and smokes a half a pack of cigarettes daily

question

The son and daughter of an 80-year-old woman have expressed concern to the nurse that their mother has become impatient and irritable since her stroke earlier this year. How should the nurse best respond to the children's concern?

answer

"This is not an uncommon consequences of a stroke that must be difficult for you to see, since it is uncharacteristic of her personality."

question

A nurse is evaluating and elderly client's lifestyle to determine the level of risk for neurovascular problems. Which of the following should the nurse identify to the client as the most significant lifestyle risk factor for the neurovascular problems such as Parkinson's disease and stroke?

answer

Cigarette smoking

question

An autopsy shows that Lewy bodies were present in a patient's brain. Which of the following characteristics did the living patient probably exhibit?

answer

Tremor

question

The nurse initiates teaching for the client who takes levodopa (Laradopa). Which of the following should the nurse caution the patient to avoid?

answer

Foods high in vitamin B6

question

Relatives brought an elderly relative to the health center because they noticed a new behavior in the elderly person. The NP explained that the behavior they noticed the characteristics of Parkinson's disease. Which of the following symptoms was most likely noticed by the relative

answer

Faint tremor in the hands or feet

question

The nurse prepares the patient for a test to determine the cause of CVA. For which test should the nurse teach the client and the family

answer

Carotid Doppler studies

question

The nurse initiates teaching for the patient and family with newly dx Parkinson's disease. In communicating with the patient and his family, which of the following should the nurse emphasize

answer

The disease progresses slowly, and therapy can minimize disability

question

The nurse advises the 80 year old patient not to sleep slumped in the recliner. The nurse explains that proper positioning of the head and neck can help prevent TIAs in which of the following ways

answer

Preventing impairment of cerebral blood flow

question

Good nursing care of patient who has had a CVA can improve the patient's chance of survival and minimize the limitations that impair a full recovery. In the acute phase, nursing efforts should prioritize which of the following aims

answer

Maintain a patent airway

question

A patient recovery form a stroke at home seems to have a pleasant environment. Family members come in to walk with him, and he has his own familiar clothing and books in his room. A calendar show the current date. A TV and radio are near his bed. No one disturbs him with the details of his condition. However, he seems depressed and anxious. A visiting nurse would most likely recommend which of the following

answer

Giving him more information

question

Nurse should promote activities that reduce the patients risk of CVA. Which of the following is the most helpful activity to promote for reducing that risk

answer

Managing HTN

question

Promoting independence in an older patient with neurologic problems may take many forms. What advice to a patients family would most help the patient achieve max levels of independence

answer

Install self-help devices in the home

question

A nurse is communicating with a family that includes the elder who has neurologic problems. What should the nurse suggest the family include in the home to lessen the likelihood of injury to the elder

answer

Smoke alarms with batteries that are replaced often

Geriatrics Ch 25 – Flashcards

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