Chapter 23: Neurodegenerative Disorders Touhy: Ebersole & Hess' Toward Healthy Aging, 9th Edition MULTIPLE CHOICE 1. The greatest risk for injury for a client with progressed Parkinson’s disease is: a. falls. b. suicide. c. bleeding ulcers. d. respiratory arrest. ANS: A
If the client becomes off-balance, self-correction is very slow, so falls are common. While the client is monitored for depression, suicide is not a common risk for injury. Bleeding ulcers and respiratory arrest are not generally recognized as caused by this disease. DIF: Cognitive Level: Applying REF: p. 302 TOP: Integrated Process: Teaching/Learning MSC: Client Needs: Physiological Adaptation 2. An older adult with suspected Parkinson’s Disease has a “challenge test” performed in order
to confirm the diagnosis. The nurse understands that a “challenge test” will demonstrate which of the following? a. Immediate reversal of all symptoms of Parkinson’s Disease after administration of levodopa b. Dramatic improvement of symptoms of Parkinson’s Disease after administration of levodopa c. Dramatic improvement in gait only after administration of levodopa d. Dramatic improvement in tremor only after administration of levodopa ANS: B
A diagnosis of Parkinson’s disease is confirmed by a “challenge test” when symptoms improve dramatically after the administration of the medication levodopa. DIF: Cognitive Level: Understanding REF: p. 301 TOP: Integrated Process: Teaching/Learning MSC: Client Needs: Physiological Adaptation 3. A nurse is caring for an older adult with Parkinson’s Disease. The patient is receiving the
medication levodopa-carbidopa. The nurse understands that in order to maximize effectiveness, the administration schedule for this medication should adhere to which of the following? a. Administer with meals only b. Administer first thing in the morning only c. Administer on an empty stomach, 30-60 minutes before or 45-60 minutes after a meal d. Administer with a full 8 ounces of water and have the patient sit upright for thirty minutes after ANS: C
