A client who has a new diagnosis of Parkinson's Disease asks the nurse "Why did I develop this disease? What caused it?" Which response should the nurse provide?
"It develops due to an autoimmune reaction after a recent infection."
"The exact cause is unknown, but it's thought to involve a combination of genetics and environmental factors."
"The cause is thought to be reactivation of a virus in cranial nerve VII."
"It is caused by demyelination of nerves in the brain and spinal cord."
The Correct Answer is B
A. Parkinson's disease is not generally considered to be caused by an autoimmune reaction or a recent infection. Autoimmune reactions leading to neurodegeneration are more commonly associated with other conditions such as multiple sclerosis, not Parkinson's disease.
B. The exact cause of Parkinson's disease is indeed unknown, but research suggests that it results from a combination of genetic predispositions and environmental factors. Genetic mutations may contribute to the development of Parkinson's disease in some individuals, while environmental factors such as exposure to certain toxins or other external influences might also play a role. The interplay between these factors is still being studied.
C. There is no evidence to support the idea that Parkinson's disease is caused by the reactivation of a virus affecting cranial nerve VII (the facial nerve). Parkinson's disease involves the degeneration of dopamine-producing neurons in the brain, not specifically related to viral reactivation or isolated to cranial nerve VII.
D. Demyelination of nerves is characteristic of multiple sclerosis, not Parkinson's disease. In Parkinson's disease, the primary issue is the loss of dopamine-producing neurons in the substantia nigra of the brain, not demyelination. This option describes a different pathological process unrelated to Parkinson's disease.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A. Myasthenia gravis is an autoimmune disorder characterized by weakness and rapid fatigue of voluntary muscles due to impaired communication between nerves and muscles. It is not directly related to HSV infection.
B. Multiple sclerosis (MS) is a chronic autoimmune disorder that affects the central nervous system, leading to demyelination of nerve fibers. While the exact cause of MS is not completely understood, it is thought to involve a combination of genetic and environmental factors. HSV is not directly associated with the development of MS.
C. Guillain-Barre syndrome (GBS) is an acute, autoimmune condition that affects the peripheral nervous system, leading to progressive muscle weakness and paralysis. GBS is often preceded by an infection, and while it is most commonly associated with infections like Campylobacter jejuni, other infections, including HSV, have also been implicated as potential triggers for GBS.
D. Bell's palsy is a condition characterized by sudden, unilateral facial paralysis or weakness due to inflammation of the facial nerve (cranial nerve VII). HSV has been identified as a potential cause of Bell's palsy, as the virus can lead to inflammation of the facial nerve.
Correct Answer is C
Explanation
A. Tachycardia (rapid heart rate) can occur in response to hypoxia (low oxygen levels), stress, or as a side effect of medications like albuterol. While tachycardia is a concerning sign in the context of an asthma exacerbation, it alone does not directly indicate the need for intubation and mechanical ventilation. It is often managed by addressing the underlying respiratory distress and improving oxygenation.
B. Anxiety is common in patients struggling to breathe, as they may feel frightened or panicked due to their difficulty breathing. However, anxiety itself is not an indicator for intubation and mechanical ventilation. It is a symptom of respiratory distress but does not directly assess the severity of the physiological need for mechanical support.
C. Hypotension (low blood pressure) in the context of an asthma exacerbation can be a sign of severe illness, possibly indicating shock or severe respiratory distress leading to reduced cardiac output. While hypotension is a serious concern, it is less directly related to the immediate need for intubation and mechanical ventilation compared to other indicators of respiratory failure.
D. Loud expiratory wheezing indicates significant airway obstruction but does not necessarily reflect the need for intubation and mechanical ventilation. Wheezing can be a sign of severe asthma but may not be sufficient on its own to necessitate intubation if the patient can still maintain adequate oxygenation and ventilation.
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