ATI LPN
Brunner & Suddarth's Textbook of Medical-Surgical Nursing 14e (Hinkle 2017)
Chapter 70 : Management of Patients With Oncologic or Degenerative Neurologic Disorders Questions
Question 1 of 5
A patient, brought to the clinic by his wife and son, is diagnosed with Huntington disease. When providing anticipatory guidance, the nurse should address the future possibility of what effect of Huntington disease?
Correct Answer: C
Rationale: Huntington's disease causes significant emotional and personality changes due to neurologic degeneration. It is not malignant, nor does it increase stroke or fracture risk.
Question 2 of 5
A patient who was diagnosed with Parkinsons disease several months ago recently began treatment with levodopa-carbidopa. The patient and his family are excited that he has experienced significant symptom relief. The nurse should be aware of what implication of the patients medication regimen?
Correct Answer: D
Rationale: Levodopa-carbidopa benefits peak early but often wane after 1-2 years, with increasing side effects. There is no defined honeymoon period, and improvement is drug-related.
Question 3 of 5
The nurse caring for a patient diagnosed with Parkinsons disease has prepared a plan of care that would include what goal?
Correct Answer: A
Rationale: Effective communication is a key goal in Parkinson's due to speech difficulties. Diarrhea and choreiform movements are not typical, and cognition is largely preserved.
Question 4 of 5
The nurse is caring for a patient diagnosed with Parkinsons disease. The patient is having increasing problems with rising from the sitting to the standing position. What should the nurse suggest to the patient to use that will aid in getting from the sitting to the standing position as well as aid in improving bowel elimination?
Correct Answer: B
Rationale: A raised toilet seat aids standing and promotes bowel elimination by improving positioning. Other options do not address both issues effectively.
Question 5 of 5
A patient with Parkinsons disease is experiencing episodes of constipation that are becoming increasingly frequent and severe. The patient states that he has been achieving relief for the past few weeks by using OTC laxatives. How should the nurse respond?
Correct Answer: C
Rationale: Laxatives risk dependency and side effects in Parkinson's patients. Exploring alternatives like diet or positioning is safer than fluids, nutrition alone, or herbal remedies.