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A client with Parkinson's disease (PD) is admitted to the medical surgical unit and the nurse assesses the client's mobility needs. Which finding(s) indicate the need to plan interventions related to the client's mobility? Select all that apply.

Orthostatic hypotension.

Stooped posture.

Bradykinesia.

Muscular rigidity.

Shuffling, propulsive gait.

Answer and Explanation

Correct Answer : A,B,C,D,E

Choice A reason: Orthostatic hypotension is a common issue in PD and requires interventions to prevent falls.

Choice B reason: Stooped posture is characteristic of PD and affects mobility and balance.

Choice C reason: Bradykinesia (slowness of movement) is a hallmark of PD and impacts daily activities and mobility.

Choice D reason: Muscular rigidity is a key symptom of PD and affects the client's ability to move freely.

Choice E reason: A shuffling, propulsive gait is typical in PD and requires interventions to ensure safety and improve mobility.

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Correct Answer is ["C","D","E"]

Explanation

Choice A reason: Standard precautions and wearing a mask are important but not sufficient alone for MRSA infection control.

Choice B reason: A low bacteria diet is not specifically indicated for osteomyelitis or MRSA infection.

Choice C reason: Contact precautions are essential to prevent the spread of MRSA.

Choice D reason: Sending wound drainage for culture and sensitivity helps identify the causative organism and guide antibiotic therapy.

Choice E reason: Monitoring the white blood cell count helps assess the client's response to infection and treatment.

A. Report the client's jaw pain to the healthcare provider. B. Advise the client to gargle with warm salt water twice daily. C. Determine how the client is administering the medication. D. Confirm that this is a common symptom of osteoporosis.

Correct Answer is A

Explanation

Choice A reason: Reporting the client's jaw pain to the healthcare provider is essential because jaw pain can be a symptom of osteonecrosis of the jaw, a rare but serious side effect of bisphosphonate therapy.

Choice B reason: Advising the client to gargle with warm salt water may provide temporary relief, but it does not address the underlying issue of potential osteonecrosis.

Choice C reason: Determining how the client is administering the medication is important for proper use but does not address the immediate concern of jaw pain.

Choice D reason: Confirming that this is a common symptom of osteoporosis is incorrect. Jaw pain is not a common symptom of osteoporosis and requires further evaluation.

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A client with Parkinson's disease (PD) is admitted to the medical surgical unit and the nurse assesses the client's mobility needs. Which finding(s) indicate the need to plan interventions related to the client's mobility? Select all that apply.

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A client with osteomyelitis from a compound fracture of the left tibia has an open draining wound and is admitted with possible methicillin-resistant Staphylococcus aureus (MRSA) infection. Which interventions should the nurse include in the plan of care? Select all that apply.

Correct Answer is ["C","D","E"]

Explanation

A female client is taking alendronate, a bisphosphonate, for postmenopausal osteoporosis. The client tells the nurse that she is experiencing jaw pain. How should the nurse respond?

Correct Answer is A

Explanation

The home health nurse makes a home visit to a client with amyotrophic lateral sclerosis (ALS). The client is sitting upright while feeding themselves and coughs frequently during the meal. Which action should the nurse implement?

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