How would you describe the surgical treatments available for patients with PD?
A) Deep brain stimulation (DBS) and ablative surgeries are available to alleviate
symptoms and improve quality of life in some patients with PD.
B) Parkinson's disease cannot be treated surgically due to the complexity of the brain
structures involved.
C) Surgical treatments for PD primarily involve removing the affected area of the brain
to halt disease progression.
D) Surgical procedures can completely cure Parkinson's disease by repairing
damaged brain cells.
,Give this one a try later!
A) Deep brain stimulation (DBS) and ablative surgeries are available to
alleviate symptoms and improve quality of life in some patients with PD.
The neurologist orders 5OO mg methylprednisolone (Solu-Medrol) IV daily. What
do you need to do to administer this medication safely? Select all that apply.
A) Reconstitute with 8mL of benzyl alcohol
B) Administer a total dose of 8ml of reconstituted solution
C) Use the solution within 60 minutes of reconstitution
D) Begin the medication infusion before 0900 each day
E) Deliver the dose over 30 minutes using IV pulse administration
Give this one a try later!
, B) Administer a total dose of 8ml of reconstituted solution
C) Use the solution within 60 minutes of reconstitution
D) Begin the medication infusion before 0900 each day
E) Deliver the dose over 30 minutes using IV pulse administration
Rationale:
• The label instructs that the vial should be reconstituted with 8 mL
bacteriostatic water. The vial contains 500 mg. The provider ordered 500
mg which means you'll deliver the entire 8 mL of fluid that you
reconstituted with.
• Use the solution within 60 minutes of reconstitution: Methylprednisolone
should be administered promptly after reconstitution to ensure its stability
and efficacy.
• Begin the medication infusion before 0900 each day: Administering the
medication in the morning helps align with the body's natural circadian
rhythm and may reduce the risk of sleep disturbances.
• Deliver the dose over 30 minutes using IV pulse administration: The
recommended infusion time for methylprednisolone is over 30 minutes to
minimize the risk of adverse reactions.
• Reconstituting with benzyl alcohol is not part of the standard
reconstitution instructions for methylprednisolone. Benzyl alcohol is the
preservative in this vial.
A patient with Parkinson’s disease is admitted to the hospital for treatment of
pneumonia. Which nursing interventions will be included in the plan of care (select
all that apply)?
A) Place an armchair at the patient’s bedside.
B) Provide an elevated toilet seat.
C) Allow flexibility with timing of medication.
D) Serve large meals to encourage caloric intake.
E) Cut patient’s food into small pieces.
Give this one a try later!
, A) Place an armchair at the patient’s bedside.
B) Provide an elevated toilet seat.
E) Cut patient’s food into small pieces.
Rationale: Because the patient with Parkinson's has difficulty chewing, food
should be cut into small pieces. An armchair should be used when the
patient is seated so that the patient can use the arms to assist with getting
up from the chair. An elevated toilet seat will facilitate getting on and off
the toilet. High-protein foods will decrease the effectiveness of L-dopa.
Parkinson's is a steadily progressive disease without acute exacerbations.
Which wound description indicates a need for excision and grafting? (select all that
apply)
A) Large, fluid-filled vesicles, moderate edema, moist, red.
B) Leathery, brown, exposed tendon.
C) Pearly white color, insensitive to pain, dry.
D) Red, painful blisters.
E) Charred eschar, visible thrombosed blood vessels.
Give this one a try later!
B) Leathery, brown, exposed tendon.
C) Pearly white color, insensitive to pain, dry.
E) Charred eschar, visible thrombosed blood vessels.
A 76-year-old patient is being treated with carbidopa/levodopa (Sinemet) for
Parkinson's disease. Which information is most important for the nurse to report to
the health care provider?
A) Uncontrolled head movement.
B) Tremor at rest.
C) Cogwheel rigidity of limbs.
D) Shuffling gait.
A) Deep brain stimulation (DBS) and ablative surgeries are available to alleviate
symptoms and improve quality of life in some patients with PD.
B) Parkinson's disease cannot be treated surgically due to the complexity of the brain
structures involved.
C) Surgical treatments for PD primarily involve removing the affected area of the brain
to halt disease progression.
D) Surgical procedures can completely cure Parkinson's disease by repairing
damaged brain cells.
,Give this one a try later!
A) Deep brain stimulation (DBS) and ablative surgeries are available to
alleviate symptoms and improve quality of life in some patients with PD.
The neurologist orders 5OO mg methylprednisolone (Solu-Medrol) IV daily. What
do you need to do to administer this medication safely? Select all that apply.
A) Reconstitute with 8mL of benzyl alcohol
B) Administer a total dose of 8ml of reconstituted solution
C) Use the solution within 60 minutes of reconstitution
D) Begin the medication infusion before 0900 each day
E) Deliver the dose over 30 minutes using IV pulse administration
Give this one a try later!
, B) Administer a total dose of 8ml of reconstituted solution
C) Use the solution within 60 minutes of reconstitution
D) Begin the medication infusion before 0900 each day
E) Deliver the dose over 30 minutes using IV pulse administration
Rationale:
• The label instructs that the vial should be reconstituted with 8 mL
bacteriostatic water. The vial contains 500 mg. The provider ordered 500
mg which means you'll deliver the entire 8 mL of fluid that you
reconstituted with.
• Use the solution within 60 minutes of reconstitution: Methylprednisolone
should be administered promptly after reconstitution to ensure its stability
and efficacy.
• Begin the medication infusion before 0900 each day: Administering the
medication in the morning helps align with the body's natural circadian
rhythm and may reduce the risk of sleep disturbances.
• Deliver the dose over 30 minutes using IV pulse administration: The
recommended infusion time for methylprednisolone is over 30 minutes to
minimize the risk of adverse reactions.
• Reconstituting with benzyl alcohol is not part of the standard
reconstitution instructions for methylprednisolone. Benzyl alcohol is the
preservative in this vial.
A patient with Parkinson’s disease is admitted to the hospital for treatment of
pneumonia. Which nursing interventions will be included in the plan of care (select
all that apply)?
A) Place an armchair at the patient’s bedside.
B) Provide an elevated toilet seat.
C) Allow flexibility with timing of medication.
D) Serve large meals to encourage caloric intake.
E) Cut patient’s food into small pieces.
Give this one a try later!
, A) Place an armchair at the patient’s bedside.
B) Provide an elevated toilet seat.
E) Cut patient’s food into small pieces.
Rationale: Because the patient with Parkinson's has difficulty chewing, food
should be cut into small pieces. An armchair should be used when the
patient is seated so that the patient can use the arms to assist with getting
up from the chair. An elevated toilet seat will facilitate getting on and off
the toilet. High-protein foods will decrease the effectiveness of L-dopa.
Parkinson's is a steadily progressive disease without acute exacerbations.
Which wound description indicates a need for excision and grafting? (select all that
apply)
A) Large, fluid-filled vesicles, moderate edema, moist, red.
B) Leathery, brown, exposed tendon.
C) Pearly white color, insensitive to pain, dry.
D) Red, painful blisters.
E) Charred eschar, visible thrombosed blood vessels.
Give this one a try later!
B) Leathery, brown, exposed tendon.
C) Pearly white color, insensitive to pain, dry.
E) Charred eschar, visible thrombosed blood vessels.
A 76-year-old patient is being treated with carbidopa/levodopa (Sinemet) for
Parkinson's disease. Which information is most important for the nurse to report to
the health care provider?
A) Uncontrolled head movement.
B) Tremor at rest.
C) Cogwheel rigidity of limbs.
D) Shuffling gait.
