Management of Care Q 37

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All of these nursing activities are included in the care plan for a 78-year-old man with Parkinson’s disease who has been referred to your home health agency. Which ones will you delegate to a nursing assistant (NA)? Select all that apply.

  

     A. Check for orthostatic changes in pulse and blood pressure.

     B. Monitor for improvement in tremor after levodopa (L-dopa) is given.

     C. Remind the patient to allow adequate time for meals.

     D. Monitor for abnormal involuntary jerky movements of extremities.

     E. Assist the patient with prescribed strengthening exercises.

     F. Adapt the patient’s preferred activities to his level of function.

Correct Answer: A, C, & E

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NA education and scope of practice includes taking pulse and blood pressure measurements. In addition, NAs can reinforce previous teaching or skills taught by the RN or other disciplines, such as speech or physical therapists.

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Option B: Evaluation of patient response to medication requires the knowledge of an experienced RN.

Option D: Development and individualizing the plan of care require RN-level education and scope of practice.

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