July 31, 2021

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July 31, 2021

Set A

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School: *

Situation: Franz, 65 years old and a retired policeman, is admitted to the hospital with a diagnosis of Parkinson’s disease.

1. When evaluating the extent of Parkinson’s disease, the nurse observes for which of the following conditions? *

1 point

A. Bulging eyeballs

B. Diminished distal sensation

C. Increased dopamine levels

D. Muscle rigidity

2. Which of the following statements best describes the cause of Parkinson’s disease *

1 point

A. Loss of myelin sheath surrounding peripheral nerves

B. Degeneration of the substantia nigra, depleting dopamine

C. Bleeding into the brain stem, resulting in motor dysfunction

D. An autoimmune disorder that destroys acetylcholine receptor

3. The nurse understood that the medication therapy for Parkinson’s disease is *

1 point

A. Curative

B. Producing unwanted side effects a week after administration

C. Palliative

D. Administered for 2-4 weeks only

4. The cranial nerves affected during the early stages of Huntington’s disease are: *

1 point

A. 1 and 3 only

B. 2 and 4 only

C. 3 and 4 only

D. None of the above

5. Which of the following statements, if made by a client with Parkinson’s disease who is taking L-dopa, indicates the need for further instruction? *

1 point

A. “I will take the medication just before meals to avoid nausea.”

B. “I will eat lots of food high in vitamin B6.”

C. “I will get up slowly to prevent dizziness.”

D. “I may need to take this medication for the rest of my life.”

Situation: Marlon, 43 years old was admitted because of his family’s concern that he is suffering “seizures” the whole day. Initial impression Huntington’s Disease.

6. Which of the following statements is inaccurate about Marlon’s condition? *

1 point

A. It usually affects people at middle age.

B. It is genetically predisposed.

C. It has periods of remissions and exacerbations.

D. None of the above.

7. The hallmark of Huntington’s disease is: *

1 point

A. Dementia

B. Charcot’s Triad

C. Chorea

D. Muscle atrophy

8. To prevent fatigue, the client is put to sleep. Which pharmacological management are usually used? *

1 point

A. Anti-anxiety

B. Antipsychotics

C. Steroids

D. Antidepressants

9. What is the rationale that MAOIs and TCAs are not given to a client like Marlon? *

1 point

A. They can aggravate chorea.

B. They decrease norepinephrine levels.

C. They are contraindicated with major tranquilizers.

D. They can cause seizures

10. What is the most common cause of death in Marlon’s condition? *

1 point

A. Fatigue

B. Depression

C. Chorea

D. Suicide

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