A nurse in a long-term care facility is collecting data for an interdisciplinary care conference for a client who has Parkinson's disease. Which of the following findings is the priority for the nurse to report at the conference?
The client requires additional help to stand.
The client has increased difficulty dressing
The client reports insomnia.
The client has difficulty swallowing
The Correct Answer is D
A. The client requires additional help to stand:
While needing additional help to stand is relevant information, it may be expected in Parkinson's disease due to issues with mobility and balance. It is not an immediate priority unless it signals a significant change or poses an immediate risk.
B. The client has increased difficulty dressing:
Increased difficulty dressing is a common manifestation of Parkinson's disease and is important to address but may not be as urgent as issues related to swallowing.
C. The client reports insomnia:
Insomnia is a common issue in Parkinson's disease but may not be an immediate priority unless it significantly impacts the client's overall well-being or contributes to other health concerns.
D. The client has difficulty swallowing:
This is the correct answer. Difficulty swallowing (dysphagia) in Parkinson's disease is a serious concern as it can lead to complications such as aspiration pneumonia and malnutrition. It requires prompt attention and intervention to ensure the client's safety and prevent potential complications.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["80"]
Explanation
To calculate the infusion rate in mL/hr for the gentamicin IV bolus, you can use the following formula:
Infusion Rate (mL/hr) = Volume (mL)/Time (hr)
In this case:
Infusion Rate=100 mL/1.25 hr
Infusion Rate=80mL/hr
Therefore, the nurse should ensure the IV pump is set to deliver 80 mL/hr for the gentamicin IV bolus, rounded to the nearest whole number.
Correct Answer is B
Explanation
A.Opening windows during a fire can increase airflow, which may actually intensify the flames and spread the fire faster. Instead, clients should close doors to contain the fire and smoke, stay low to the ground to avoid inhaling smoke, and focus on evacuating the home safely.
B.Storing the fire extinguisher away from the stove ensures it remains accessible if a fire breaks out on or near the stove. If a fire occurs, the extinguisher should be in a location that is easy to access but away from the immediate fire source to prevent the person from reaching through flames to retrieve it.
C.The correct technique is to aim the nozzle at the base of the flames, where the fuel source is. This helps to smother the fire more effectively, as aiming at the base cuts off the fuel source, whereas aiming at the top would be less effective.
D.The batteries in smoke alarms should generally be changed every 6-12 months to ensure they are functioning properly. Many recommendations also suggest testing alarms monthly and replacing the entire smoke alarm every 10 years.
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