Medical Surgical Nursing Concepts & Practice, 2nd Edition by Susan C.
Medical Surgical Nursing Concepts & Practice, 2nd Edition by Susan C.
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Chapter 25: Care of Patients with Peripheral Nerve and Degenerative Neurologic Disorders
Complete Chapter Questions With Answers
Sample Questions Are Posted Below
MULTIPLE CHOICE
| a. | “Regardless of the actual etiology, Parkinson’s is caused by depletion of dopamine and excess of acetylcholine.” |
| b. | “The pathophysiology of the disease is caused by the deterioration of the myelin sheath of the basal ganglia.” |
| c. | “Excess dopamine and deficient acetylcholine are the cause of Parkinson’s disease.” |
| d. | “When there is decreased dopamine uptake at receptors in brain cells, Parkinson’s disease results.” |
ANS: A
The specific cause of Parkinson’s disease is unknown, but the basic pathophysiology is depletion of dopamine and excess of acetylcholine.
DIF: Cognitive Level: Analysis REF: 551 OBJ: 1 (theory)
TOP: Parkinson’s Disease: Pathophysiology
KEY: Nursing Process Step: Implementation
MSC: NCLEX: Physiological Integrity: Physiological Adaptation
| a. | Occurring 100% of the time |
| b. | Decreasing when there is voluntary movement |
| c. | Being absent when the body is at rest |
| d. | Characterized by a tonic and clonic muscle activity |
ANS: B
The tremor decreases on voluntary movement, is absent during sleep, and occurs when the body is at rest. The muscle activity is that of “pill rolling.”
DIF: Cognitive Level: Application REF: 552 OBJ: 1 (theory)
TOP: Parkinson’s Disease: Signs KEY: Nursing Process Step: Assessment
MSC: NCLEX: Physiological Integrity: Physiological Adaptation
| a. | Risk for falls related to unsteady gait. |
| b. | Ineffective airway clearance related to drooling. |
| c. | Risk for impaired skin integrity related to tremor. |
| d. | Nutrition: less than body requirements related to nausea. |
ANS: A
Rigidity and impaired balance with the propulsive gait create a risk for falls. The tremor decreases with voluntary movement, making eating relatively trouble free. Drooling is not a threat for aspiration, and there is no characteristic nausea.
DIF: Cognitive Level: Application REF: 555-556 | Nursing Care Plan 25-1
OBJ: 3 (theory) TOP: Parkinson’s Disease: Nursing Diagnoses
KEY: Nursing Process Step: Planning
MSC: NCLEX: Physiological Integrity: Reduction of Risk Potential
| a. | Periodically reach for the ceiling. |
| b. | Sleep in the prone position. |
| c. | Walk with a marching step. |
| d. | Walk guided by an imaginary straight line. |
ANS: B
Sleeping in the prone position without a pillow will help to improve erect posture.
DIF: Cognitive Level: Application REF: 555 OBJ: 3 (theory)
TOP: Parkinson’s Disease: Improving Posture
KEY: Nursing Process Step: Implementation
MSC: NCLEX: Physiological Integrity: Physiological Adaptation
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