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HINKLE CHAPTER 65 TEST BANK - PARKINSONS ONLY QUESTIONS AND ANSWERS WITH SOLUTIONS 2024
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HINKLE CHAPTER 65 TEST BANK - PARKINSONS ONLY QUESTIONS AND ANSWERS WITH SOLUTIONS 2024
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HINKLE CHAPTER 65 TEST BANK -PARKINSONS ONLY QUESTIONS AND
ANSWERS WITH SOLUTIONS 2024
The clinic nurse caring for a client with Parkinson disease notes that the client has been taking levodopa
and carbidopa (Sinemet) for 7 years. For what common side effect should the nurse assess this client?
A. Pruritus
B. Dyskinesia
C. Lactose intolerance
D. Diarrhea - ANSWER B
Rationale: Within 5 to 10 years of taking levodopa, most clients develop a response to the medication
characterized by dyskinesia (abnormal involuntary movements). Another potential complication of long-
term dopaminergic medication use is neuroleptic malignant syndrome characterized by severe rigidity,
stupor, and hyperthermia. Side effects of long-term Sinemet therapy are not pruritus, lactose
intolerance, or diarrhea.
A client with Parkinson disease is undergoing a swallowing assessment because the client has recently
developed adventitious lung sounds. The client's nutritional needs should be met by what method?
A. Total parenteral nutrition (TPN)
B. Provision of a low-residue diet
C. Semisolid food with thick liquids
D. Minced foods and a fluid restriction - ANSWER ANS: C
Rationale: A semisolid diet with thick liquids is easier for a client with swallowing difficulties to consume
than is a solid diet. Low-residue foods and fluid restriction are unnecessary and counterproductive to the
client's nutritional status. The client's status does not warrant TPN until all other options have been ruled
out.
A client has just been diagnosed with Parkinson disease and the nurse is planning the client's subsequent
care for the home setting. What nursing diagnosis should the nurse address when educating the client's
family?
A. Risk for infection
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