HESI Parkinson’s – Flashcards
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What is the MOA of Sinemet?
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Sinemet is converted to dopamine and provides an exogenous form of dopamine replacement
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The wife reports the husband is talking to people who are dead, has developed jerky movement and begun smacking his lips. 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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Which nursing dx is the priority?
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Impaired physical mobility related to muscle rigidity and motor weakness
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Difficulty with eating. How should the nurse respond?
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Encourage nancy to provide a soft diet with mainly thick fluids
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In providing client teaching related to ambulation, which instruction should the nurse include?
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demonstrate how to walk with a wide-base stance
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Which member of the interdisciplinary team can best assist Leo in his desire to maintain independence when performing ADLs?
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occupational therapist
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Leo voices concerns about his children making decisions for him when he wants his wife to. The nurse should
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provide Leo information about a Durable Power of Attorney for health care
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The family asks the nurse to witness the form. The nurse should
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suggest a neighbour witness it
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Leo shares he hasn't had a BM for 3 days. The nurse should:
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assess bowel sounds and check for distension
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Leo continues to lose weight. The nurse should
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discuss providing supplemental feedings between meals
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Nancy is crying about Leo hitting his head. The nurse should
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allow Nancy to cry and discuss her feelings
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Nancy shares it is harder to understand Leo. The nurse suggests
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stand directly in front of leo when he is speaking
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What statement best describes parkinsons disease?
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A chemical imbalance in the brain leads to movement and coordination problems
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How do you get parkinsons?
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there is really no known specific cause for Parkinson's
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Nancy expresses concerns about costs of a longterm care facility. What is the best response?
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If you are financially qualified, medicaid will pay
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How to choose the nursing home?
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Ask the director of nursing for the names and phone numbers of people willing to serve as references for the facility
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Nancy calls expressing fear for putting Leo in a nursing home. What is the best response
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Visit at different times, rather than following a routine visiting schedule
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How can Nancy make this transition easier for her husband?
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decorate his room with things from home
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What tasks can be delegated to a UAP?
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empty foley catheter, help leo ambulate down the hall
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The UAP is yelling at Leo. The nurse should
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instruct the UAP to go to the nurse's station
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Intervention before inserting a PEG tube?
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ensure that an informed consent for the PEG tube placement has been signed
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After getting the PEG tube inserted in surgery, the nurse should
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assess the insertion site for signs of bleeding
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Which statement correctly explains the rationale for this positioning
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placing leo in a semi-fowlers position helps prevent aspiration of the tube feeding
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Before initiating a feed, the nurse should
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check the residual volume
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Which interventions should the nurse implement regarding administration of these meds
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crush each tablet individually, dissolve each in warm water and administer separately via the PEG tube, flush tube with water before med administration, in-between each med and after
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Leo has diarrhea and complains for leg cramps.. The nurse should
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assess potassium
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Nancy requests information about hospice care. The nurse says
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to be eligible for hospice care, leo must have fewer than 6 months to live
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What statement by Nancy indicates that she 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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What statement is correct about payment for hospice care?
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Medicare Hospice Benefit will cover the cost for Medicare beneficiaries
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Which statement accurately describes the rationale for an out of hopsital DNR order?
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it is an order that will prevent paramedics from starting CPR
