NSG123 Module 8
A client with Parkinson's disease has been prescribed levodopa/carbidopa (Sinemet). Which of the
following indicates that the medication is effective?
Improved short-term memory
Decreased tremors and rigidity
Resolution of hallucinations
Increased appetite - Decreased tremors and rigidity
Rationale:
Levodopa/carbidopa increases dopamine levels in the brain, helping to improve motor symptoms such
as tremors and rigidity seen in Parkinson's disease. It does not directly affect memory, hallucinations, or
appetite.
The nurse is caring for a client with late-stage Alzheimer's disease. Which intervention should the nurse
prioritize?
Encourage participation in group activities.
Provide total care and assistance with activities of daily living.
Reorient the client to their environment every hour.
,Encourage the client to remember their family members. - Provide total care and assistance with
activities of daily living.
Rationale:
In late-stage Alzheimer's disease, the client is unable to perform basic activities and often requires total
care. Encouraging participation, frequent reorientation, or attempts to recall family members may not
be appropriate in this stage due to the severity of cognitive decline.
A client with Alzheimer's disease is prescribed memantine (Namenda). What should the nurse monitor
for as a contraindication to this medication?
Hypertension
Renal impairment
Asthma
Cardiac arrhythmias - Renal impairment
Rationale:
Memantine is contraindicated in clients with renal impairment because it is primarily excreted through
the kidneys. Monitoring renal function is essential to prevent drug accumulation and toxicity.
Which nursing intervention is most appropriate for a client experiencing a migraine attack?
Encourage the client to eat high-protein foods.
, Provide a quiet, dark environment and administer prescribed analgesics.
Elevate the client's bed to 90 degrees.
Apply warm compresses to the client's head. - Provide a quiet, dark environment and administer
prescribed analgesics.
Rationale:Comfort measures, such as a quiet and dark environment, and the administration of
prescribed antiemetic and analgesic medications, are key to managing migraines during an acute phase.
The nurse is caring for a client with delirium. What is the priority intervention?
Reorient the client frequently to their environment.
Identify and treat the underlying cause of delirium.
Maintain a calm and structured environment.
Assess the client's nutritional status. - Identify and treat the underlying cause of delirium.
Rationale:
Delirium is often reversible if the underlying cause is identified and treated. While maintaining safety
and a calm environment is important, addressing the root cause takes precedence.
A client with Parkinson's disease is at risk for aspiration. Which intervention is most appropriate for this
client?
A client with Parkinson's disease has been prescribed levodopa/carbidopa (Sinemet). Which of the
following indicates that the medication is effective?
Improved short-term memory
Decreased tremors and rigidity
Resolution of hallucinations
Increased appetite - Decreased tremors and rigidity
Rationale:
Levodopa/carbidopa increases dopamine levels in the brain, helping to improve motor symptoms such
as tremors and rigidity seen in Parkinson's disease. It does not directly affect memory, hallucinations, or
appetite.
The nurse is caring for a client with late-stage Alzheimer's disease. Which intervention should the nurse
prioritize?
Encourage participation in group activities.
Provide total care and assistance with activities of daily living.
Reorient the client to their environment every hour.
,Encourage the client to remember their family members. - Provide total care and assistance with
activities of daily living.
Rationale:
In late-stage Alzheimer's disease, the client is unable to perform basic activities and often requires total
care. Encouraging participation, frequent reorientation, or attempts to recall family members may not
be appropriate in this stage due to the severity of cognitive decline.
A client with Alzheimer's disease is prescribed memantine (Namenda). What should the nurse monitor
for as a contraindication to this medication?
Hypertension
Renal impairment
Asthma
Cardiac arrhythmias - Renal impairment
Rationale:
Memantine is contraindicated in clients with renal impairment because it is primarily excreted through
the kidneys. Monitoring renal function is essential to prevent drug accumulation and toxicity.
Which nursing intervention is most appropriate for a client experiencing a migraine attack?
Encourage the client to eat high-protein foods.
, Provide a quiet, dark environment and administer prescribed analgesics.
Elevate the client's bed to 90 degrees.
Apply warm compresses to the client's head. - Provide a quiet, dark environment and administer
prescribed analgesics.
Rationale:Comfort measures, such as a quiet and dark environment, and the administration of
prescribed antiemetic and analgesic medications, are key to managing migraines during an acute phase.
The nurse is caring for a client with delirium. What is the priority intervention?
Reorient the client frequently to their environment.
Identify and treat the underlying cause of delirium.
Maintain a calm and structured environment.
Assess the client's nutritional status. - Identify and treat the underlying cause of delirium.
Rationale:
Delirium is often reversible if the underlying cause is identified and treated. While maintaining safety
and a calm environment is important, addressing the root cause takes precedence.
A client with Parkinson's disease is at risk for aspiration. Which intervention is most appropriate for this
client?
