HESI Case Studies--Medical/Surgical-Parkinson's (Leo White) questions with complete solutions

1. Which statement explains the mechanisms of action of Sinemet in the treatment of Parkinson's disease? correct answer: Sinemet is converted to dopamine and provides an exogenous form of dopamine replacement 2. How should the nurse respond? correct answer: Instruct Nancy to bring Leo to the healthcare provider's office now 3. In planning care, which nursing diagnosis is the priority? correct answer: Impaired physical mobility related to muscle rigidity and motor weakness 4. How should the nurse respond? correct answer: Encourage Nancy to provide a soft diet with mainly thick liquids 5. In providing client teaching related to ambulation. which instruction should the nurse include? correct answer: Demonstrate how to walk with a wide-based stance 6. Which member of the interdisciplinary team can best assist Leo in his desire to maintain independence when performing his ADLs? correct answer: Occupational therapist 7. Which action should the nurse implement? correct answer: Provide Leo with information about a Durable Power of Attorney for Health Care 8. What should the home health nurse do? correct answer: Suggest that Nancy call a neighbor to witness the signature 9. Which independent nursing action should be implemented first? correct answer: Assess Leo's bowel sounds and check his abdomen for distention 10. Which intervention should the nurse implement first to address Leo's weight loss? correct answer: Discuss providing supplemental feedings between meals 11. How should the home health nurse respond first? correct answer: Allow Nancy to cry and discuss her feelings 12. Which intervention will the nurse recommend to Nancy to address this problem? correct answer: Stand directly in front of Leo when he is speaking 13. Which statement by the nurse leader best describes Parkinson's disease? correct answer: A chemical imbalance in the brain leads to movement and coordination problems 14. What is the best response by the nurse leader? correct answer: There is really no known specific cause for Parkinson's disease