HESI Case Studies–Medical/Surgical-Parkinson’s (Leo White) – Flashcards
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1. Which statement explains the mechanisms of action of Sinemet in the treatment of Parkinson's disease?
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Sinemet is converted to dopamine and provides an exogenous form of dopamine replacement
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2. How should the nurse respond?
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Instruct Nancy to bring Leo to the healthcare provider's office now
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3. In planning care, which nursing diagnosis is the priority?
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Impaired physical mobility related to muscle rigidity and motor weakness
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4. How should the nurse respond?
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Encourage Nancy to provide a soft diet with mainly thick liquids
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5. In providing client teaching related to ambulation. which instruction should the nurse include?
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Demonstrate how to walk with a wide-based stance
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6. Which member of the interdisciplinary team can best assist Leo in his desire to maintain independence when performing his ADLs?
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Occupational therapist
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7. Which action should the nurse implement?
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Provide Leo with information about a Durable Power of Attorney for Health Care
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8. What should the home health nurse do?
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Suggest that Nancy call a neighbor to witness the signature
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9. Which independent nursing action should be implemented first?
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Assess Leo's bowel sounds and check his abdomen for distention
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10. Which intervention should the nurse implement first to address Leo's weight loss?
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Discuss providing supplemental feedings between meals
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11. How should the home health nurse respond first?
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Allow Nancy to cry and discuss her feelings
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12. Which intervention will the nurse recommend to Nancy to address this problem?
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Stand directly in front of Leo when he is speaking
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13. Which statement by the nurse leader best describes Parkinson's disease?
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A chemical imbalance in the brain leads to movement and coordination problems
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14. What is the best response by the nurse leader?
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There is really no known specific cause for Parkinson's disease
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15. How should the social worker respond?
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If you and Leo are financially qualified, Medicaid will pay for the home.
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16. What is the best response by the nurse?
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"Ask the director of nursing for the names and phone numbers of persons willing to serve as references for the facility"
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17. How should the home health nurse respond?
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"You may want to visit at different times, rather than following a routine visiting schedule"
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18. How should the nurse respond?
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"Bring some pictures and personal items from home and decorate the room"
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19. Which nursing task(s) can be delegated to the unlicensed assistive personnel (UAP)? (Select all)
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-Empty foley catheter and report output for a client with a urinary tract infection -Help leo ambulate down the hall to the shower area
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20. What action should the primary nurse take?
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Instruct the UAP to go to the nurse's station
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21. Which nursing intervention must be implemented prior to inserting the PEG tube?
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Ensure that an informed consent for the PEG tube placement has been signed
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22. Upon Leo's return to his room, which intervention should the nurse implement?
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Assess the insertion site for signs of bleeding
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23. Which statement correctly explains the rationale for this positioning?
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Placing Leo in a semi-Fowlers position helps prevent aspiration of tube feeding
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24. Which intervention should the nurse implement first?
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Check the residual volume
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25. Which intervention(s) should the nurse implement regarding the administration of these medications? (Select all)
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-Crush the tablets and dissolve in warm water prior to administering via PEG tube -Flush tube with water before medication administration, in-between each medication, and after medication administration
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26. Which action should the nurse take next?
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Assess Leo's serum potassium level
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27. What is the best response by the nurse?
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"To be eligible for hospice care, Leo must have fewer than 6 months to be alive"
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28. Which statement by Nancy indicates to the nurse that Nancy understands the role of hospice care in the home?
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"The hospice nurses and staff will help keep Leo comfortable at home until he dies"
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29. Which statement provides correct information about payment for hospice care?
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Medicare Hospice Benefit will cover the cost for Medicare beneficiaries
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30. Which statement accurately describes the rationale for an Out-of Hospital Do-Not-Resuscitate Order?
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It is an order that will prevent paramedics from starting cardiopulmonary resuscitation
