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Question
1. What are THREE priority nursing diagnosis with FOUR interventions each for this patient?
2. What are the abnormal lab values?
3. List the medications L.C is taking/prescribed.
Case Study:
L.C. is a 78-year-old man with a 3-year history of Parkinson disease (PD). He is a retired engineer, is married, and lives with his wife in a small farming community. He has four adult children who live close by. Since his last visit to the clinic 6 months ago, L.C. reports that his tremors are "about the same" as they were; however, further questioning reveals that he feels his gait is perhaps a little more unsteady, and his fatigue is slightly more noticeable. L.C. is also concerned about increased drooling. Among the medications L.C. takes are carbidopa-levodopa 25/100 mg (Sinemet) four times daily and amantadine (Symmetrel) 100 mg at breakfast and bedtime. On the previous visit the Sinemet was increased from three to four times daily. He reports that he has become very somnolent with this regimen and that his dyskinetic movements appear to be worse just after taking his carbidopa-levodopa (Sinemet).
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