HACC Nursing 241 Quiz 3 (Final)
Study online at https://quizlet.com/_5r3bwz
1. Risk Factors for Older Age
Parkinson Disease Male Gender
Causes
Idiopathic*
Genetics
Viral infection
Head trauma
Anti-psychotic medication
2. What are the stages 1 - Shaking/tremor in 1 extremity
of Parkinson Disease 2 - Bilateral extremities affected ’walking/balance poor
(PD)? 3 - Slowed physical movement ’walking more affected
4 - Akinesia and rigidity ’difficulty with ADLs
5 - Unable to stand or walk ’dependent for care
3. What does TRAP Tremor
stand for? Rigidity
Akinesia
Posture
Need the first three to be diagnosed. And the first 2 are required
4. Define S&S of Tremor Begins with one hand, foot, jaw
as it relates to PD At rest
"Pill-rolling"
Increases with stress
5. Define S&S of Rigidity Involuntary Muscle contraction
as it relates to PD Limited ROM
"Cogwheel" - small jerking motions seen when patient tries to extend arm
6.
, HACC Nursing 241 Quiz 3 (Final)
Study online at https://quizlet.com/_5r3bwz
Define S&S of Akine- Akinesia - voluntary muscles
sia as it relates to PD
Extended time for ADLs
Difficulty rising to stand
Short steps/no arm swinging
Drooling/trouble chewing and swallowing
Slurred, slow speech, low volume
7. Define S&S of Posture Stooped
as it relates to PD Shuffling gait, small steps
"Freezing" - when can't move feet
Retropulsion - falling backwards
8. Define S&S of Cogni- Attention
tive problems as it re- Problem solving
lates to PD Memory deficits
Slowed speed of thinking
Language - misnaming, word-finding
9. Define S&S Low volume
of Speech/Swallowing Words sound garbled
problems as it relates Drooling
to PD Coughing/choking when eating
Food/liquid falls out of mouth
10. What are some Fatigue
non-motor S&S of PD? Loss of smell
Dementia
Depression
Sleep disorders
Constipation/urinary frequency or retention*
11.
, HACC Nursing 241 Quiz 3 (Final)
Study online at https://quizlet.com/_5r3bwz
What are the diagnos- Presenting symptoms (TRAP Criteria)
tic Tests used to diag- Neurological exam
nosis PD? Response to medication
DaT scan - identifies loss of dopamine receptors in the brain
MRI- Used to rule out other problems
2 of 4 TRAP criteria
Response to medication - given a trial medication to see if the Parkinson's
meds help resolve some of the S&S (levadopa)
12. What are the nursing Risk for falls
Diagnosis for PD? Impaired physical mobility
Impaired verbal communication
Risk for aspiration
Self-care deficit
Impaired urinary elimination
Constipation
13. What does DBS stand DBS - Deep Brain Stimulator
for as it relates to PD? Implanted transmitter
Tremor control
Reduces rigidity
Improves akinesia
Allows decreased dose of levodopa*
14. What are some med- Levodopa/carbidopa*
ications used to treat Dopamine agonist
Parkinson's disease? Dopamine releaser
COMT inhibitors
MAO-B inhibitors
15.
Study online at https://quizlet.com/_5r3bwz
1. Risk Factors for Older Age
Parkinson Disease Male Gender
Causes
Idiopathic*
Genetics
Viral infection
Head trauma
Anti-psychotic medication
2. What are the stages 1 - Shaking/tremor in 1 extremity
of Parkinson Disease 2 - Bilateral extremities affected ’walking/balance poor
(PD)? 3 - Slowed physical movement ’walking more affected
4 - Akinesia and rigidity ’difficulty with ADLs
5 - Unable to stand or walk ’dependent for care
3. What does TRAP Tremor
stand for? Rigidity
Akinesia
Posture
Need the first three to be diagnosed. And the first 2 are required
4. Define S&S of Tremor Begins with one hand, foot, jaw
as it relates to PD At rest
"Pill-rolling"
Increases with stress
5. Define S&S of Rigidity Involuntary Muscle contraction
as it relates to PD Limited ROM
"Cogwheel" - small jerking motions seen when patient tries to extend arm
6.
, HACC Nursing 241 Quiz 3 (Final)
Study online at https://quizlet.com/_5r3bwz
Define S&S of Akine- Akinesia - voluntary muscles
sia as it relates to PD
Extended time for ADLs
Difficulty rising to stand
Short steps/no arm swinging
Drooling/trouble chewing and swallowing
Slurred, slow speech, low volume
7. Define S&S of Posture Stooped
as it relates to PD Shuffling gait, small steps
"Freezing" - when can't move feet
Retropulsion - falling backwards
8. Define S&S of Cogni- Attention
tive problems as it re- Problem solving
lates to PD Memory deficits
Slowed speed of thinking
Language - misnaming, word-finding
9. Define S&S Low volume
of Speech/Swallowing Words sound garbled
problems as it relates Drooling
to PD Coughing/choking when eating
Food/liquid falls out of mouth
10. What are some Fatigue
non-motor S&S of PD? Loss of smell
Dementia
Depression
Sleep disorders
Constipation/urinary frequency or retention*
11.
, HACC Nursing 241 Quiz 3 (Final)
Study online at https://quizlet.com/_5r3bwz
What are the diagnos- Presenting symptoms (TRAP Criteria)
tic Tests used to diag- Neurological exam
nosis PD? Response to medication
DaT scan - identifies loss of dopamine receptors in the brain
MRI- Used to rule out other problems
2 of 4 TRAP criteria
Response to medication - given a trial medication to see if the Parkinson's
meds help resolve some of the S&S (levadopa)
12. What are the nursing Risk for falls
Diagnosis for PD? Impaired physical mobility
Impaired verbal communication
Risk for aspiration
Self-care deficit
Impaired urinary elimination
Constipation
13. What does DBS stand DBS - Deep Brain Stimulator
for as it relates to PD? Implanted transmitter
Tremor control
Reduces rigidity
Improves akinesia
Allows decreased dose of levodopa*
14. What are some med- Levodopa/carbidopa*
ications used to treat Dopamine agonist
Parkinson's disease? Dopamine releaser
COMT inhibitors
MAO-B inhibitors
15.
