Enteral feedings crisis results in severe muscle

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enteral feedingscrisis results in severe muscle weaknessand can lead to a respiratory arrest.The nurse observes a 74-year-old man withParkinson's diseaserocking side to side whilesitting in the chair. Whichaction by the nurse ismost appropriate?A. Provide the patientwith diversional activities.B. Document the activityin the patient's healthrecord.C. Take the patient'sblood pressure sittingand standing.B.Patients with Parkinson's disease areinstructed to rock from side to side tostimulate balance mechanisms anddecrease akinesia.
D. Ask if the patient isfeeling either anxious ordepressed.The nurse providesdietary instructions to thein-home caregiver of a45-year-old man whohas Huntington's disease.The nurse is mostconcerned if thecaregiver makes whichstatement?A. "Depression iscommon and may causea decrease in appetite."B. "If swallowingbecomes difficult, afeeding tube may beneeded."C. "Calories should berestricted to preventunnecessary weightgain."D. "Muscles in the faceare affected, andchewing may becomeimpossible."C.Patients with Huntington's disease mayrequire 4000 to 5000 calories per day tomaintain body weight. Weight loss occursin patients with Huntington's diseasebecause of choreic movements, difficultyswallowing, depression, and mentaldeterioration.A 50-year-old mancomplains of recurringheadaches. He describesthese as sharp, stabbing,and located around hisaRationale: Cluster headaches involverepeated headaches that can occur forweeks to months, followed by periods ofremission. The pain of cluster headache is
left eye. He also reportsthat his left eye seems toswell and get teary whenthese headaches occur.Based on this history, yoususpect that he hasa. cluster headaches.b. tension headaches.c. migraine headaches.d. medication overuseheadaches.sharp and stabbing; the intense pain lasts afew minutes to 3 hours. Cluster headachescan occur every other day and as often aseight times a day. The clusters occur withregularity, usually occurring at the sametime each day and during the sameseasons of the year. Typically, a clusterlasts 2 weeks to 3 months, and the patientthen goes into remission for months toyears. The pain usually is located aroundthe eye and radiates to the temple,forehead, cheek, nose, or gums. Othermanifestations may include swelling aroundthe eye, lacrimation (tearing), facial flushingor pallor, nasal congestion, andconstriction of the pupil. During theheadache, the patient is often agitated andrestless, unable to sit still or relax.A 65-year-old womanwas just diagnosed withParkinson's disease. Thepriority nursingintervention isa. searching the Internetfor educational videos.b. evaluating the homefor environmental safety.c. promoting physicalexercise and a well-balanced diet.

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