Mark Klimek Blue Book (P's) Exam
Questions and Answers 100% Pass
What structures in the brain are most affected in Parkinson's? - ✔✔Basal
ganglia
The neurotransmitter imbalance that causes Parkinson's is a ______ in
______ ______. - ✔✔Decrease, dopamine activity
What drugs can cause a Parkinson-like syndrome? - ✔✔Haldol, major
tranquilizers -- drugs that end in -azine
What is the classic motor manifestation of Parkinson's? - ✔✔Pill-rolling and
tremors
What type of rigidity is typical of Parkinson's? - ✔✔Cogwheel
Parkinson's patients move fast or slow? - ✔✔Slow
What type of gait is seen in Parkinson's? - ✔✔Shuffling slow gait
1
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,Patient's with Parkinson's have ______ speech. - ✔✔Monotone
Patients with Parkinson's tend to have constipation or diarrhea? -
✔✔Constipation
Name four drugs used to treat Parkinson's. - ✔✔Levodopa, Sinement,
Symmetrol, Cogentin, Artane, Parlodel
In what type of chair should Parkinson's patients sit? - ✔✔Firm, hard-
backed
What time of day can be particularly dangerous for the Parkinson's
patient? - ✔✔Mealtime, due to choking
When a patient is taking Levodopa he should have assistance getting out of
bed because... - ✔✔Of orthostatic hypotension
What vitamin should patients on Levodopa avoid? - ✔✔B6 pyridoxine
Levodopa should be given with or without food? - ✔✔With
What might Levodopa do to patients urine? - ✔✔Make it very dark
2
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,The tremors of Parkinson's will get better or worse when they purposefully
move or perform a task? - ✔✔Better, they tremor more when not
performing an action
The client on a PCA pump is less likely to have post-operative
complications than the client without a PCA pump. (T/F) - ✔✔True,
because the comfortable patient moves around more and is less likely to
get thrombophlebitis, pulmonary embolus, fatigue, ileus and pneumonia
Clients with COPD are not good candidates for PCA pumps. (T/F) -
✔✔True, due to the effects of narcotics on central respiratory control
Name the three most common uses of PCA techniques. - ✔✔Post-operative
pain, cancer pain, sickle-cell crisis pain
PCA pumps allow a more constant level of serum drug than conventional
analgesia. (T/F) - ✔✔True
A major disadvantage of PCA pump is that the client can take too much
medication. (T/F) - ✔✔False, it is not possible for the client to overdose due
to the lock-out feature
3
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, Clients on PCA pumps use more medication than those receiving IM
injections. (T/F) - ✔✔False, they use less
A disadvantage of PCA pumps is that the client does not ambulate as early
due to the machine. (T/F) - ✔✔False, PCA clients ambulate earlier and they
pull their machine with them.
When discontinuing a PCA infusion it is acceptable to discard the drug
cartridge. (T/F) - ✔✔False, the whole cartridge system must be returned to
the pharmacy due to federal narcotic control laws.
Comfort range or relative humidity is... - ✔✔30-60%
Which patients should be forbidden to smoke? Smoke alone? - ✔✔Those
with oxygen in the room, confused, sleepy, drugged clients
When applying restraints remember to... - ✔✔Avoid bruising skin, cutting
off circulation, accidental entangling
List ways to ensure privacy... - ✔✔Use drapes and screens during care in
semi-private rooms
Plastic pillow cases are ______. (disadvantages) - ✔✔Hot and slippery
4
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Questions and Answers 100% Pass
What structures in the brain are most affected in Parkinson's? - ✔✔Basal
ganglia
The neurotransmitter imbalance that causes Parkinson's is a ______ in
______ ______. - ✔✔Decrease, dopamine activity
What drugs can cause a Parkinson-like syndrome? - ✔✔Haldol, major
tranquilizers -- drugs that end in -azine
What is the classic motor manifestation of Parkinson's? - ✔✔Pill-rolling and
tremors
What type of rigidity is typical of Parkinson's? - ✔✔Cogwheel
Parkinson's patients move fast or slow? - ✔✔Slow
What type of gait is seen in Parkinson's? - ✔✔Shuffling slow gait
1
100% Pass Guarantee Katelyn Whitman, All Rights
,Patient's with Parkinson's have ______ speech. - ✔✔Monotone
Patients with Parkinson's tend to have constipation or diarrhea? -
✔✔Constipation
Name four drugs used to treat Parkinson's. - ✔✔Levodopa, Sinement,
Symmetrol, Cogentin, Artane, Parlodel
In what type of chair should Parkinson's patients sit? - ✔✔Firm, hard-
backed
What time of day can be particularly dangerous for the Parkinson's
patient? - ✔✔Mealtime, due to choking
When a patient is taking Levodopa he should have assistance getting out of
bed because... - ✔✔Of orthostatic hypotension
What vitamin should patients on Levodopa avoid? - ✔✔B6 pyridoxine
Levodopa should be given with or without food? - ✔✔With
What might Levodopa do to patients urine? - ✔✔Make it very dark
2
100% Pass Guarantee Katelyn Whitman, All Rights
,The tremors of Parkinson's will get better or worse when they purposefully
move or perform a task? - ✔✔Better, they tremor more when not
performing an action
The client on a PCA pump is less likely to have post-operative
complications than the client without a PCA pump. (T/F) - ✔✔True,
because the comfortable patient moves around more and is less likely to
get thrombophlebitis, pulmonary embolus, fatigue, ileus and pneumonia
Clients with COPD are not good candidates for PCA pumps. (T/F) -
✔✔True, due to the effects of narcotics on central respiratory control
Name the three most common uses of PCA techniques. - ✔✔Post-operative
pain, cancer pain, sickle-cell crisis pain
PCA pumps allow a more constant level of serum drug than conventional
analgesia. (T/F) - ✔✔True
A major disadvantage of PCA pump is that the client can take too much
medication. (T/F) - ✔✔False, it is not possible for the client to overdose due
to the lock-out feature
3
100% Pass Guarantee Katelyn Whitman, All Rights
, Clients on PCA pumps use more medication than those receiving IM
injections. (T/F) - ✔✔False, they use less
A disadvantage of PCA pumps is that the client does not ambulate as early
due to the machine. (T/F) - ✔✔False, PCA clients ambulate earlier and they
pull their machine with them.
When discontinuing a PCA infusion it is acceptable to discard the drug
cartridge. (T/F) - ✔✔False, the whole cartridge system must be returned to
the pharmacy due to federal narcotic control laws.
Comfort range or relative humidity is... - ✔✔30-60%
Which patients should be forbidden to smoke? Smoke alone? - ✔✔Those
with oxygen in the room, confused, sleepy, drugged clients
When applying restraints remember to... - ✔✔Avoid bruising skin, cutting
off circulation, accidental entangling
List ways to ensure privacy... - ✔✔Use drapes and screens during care in
semi-private rooms
Plastic pillow cases are ______. (disadvantages) - ✔✔Hot and slippery
4
100% Pass Guarantee Katelyn Whitman, All Rights
