A nurse is caring for a client newly diagnosed with Parkinson’s disease.
The client states, “I have no idea why I got this.”. What is the most important he nurse should ask this client while performing the assessment?
What kind of work do you do?
Do you have any family members with Parkinson’s disease?
How much coffee do you drink every day?
When did you have your last physical?
None
The Correct Answer is A
Choice A rationale: Occupational exposure to pesticides, heavy metals, and industrial toxins is a known environmental risk factor for Parkinson’s disease. Work history helps identify neurotoxic exposure linked to disease onset.
Choice B rationale: Family history may suggest genetic predisposition, but idiopathic Parkinson’s is more often linked to environmental factors. Genetics play a role, but exposure history is more actionable during assessment.
Choice C rationale: Coffee intake has been inversely associated with Parkinson’s risk, but it’s not a diagnostic or causative factor. This question does not guide clinical assessment or identify potential exposures.
Choice D rationale: Timing of last physical may inform general health status but does not address etiology or risk factors specific to Parkinson’s disease. It lacks relevance to environmental or occupational exposure.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Choice A rationale
Anhidrosis, or the inability to sweat normally, is a potential side effect of anticholinergic agents. These medications block the action of acetylcholine, a neurotransmitter that stimulates sweat glands among other functions. If a patient taking an anticholinergic agent for Parkinson’s disease experiences anhidrosis, they should report it to their healthcare provider as it can lead to overheating and heat stroke.
Choice B rationale
Tremors are a common symptom of Parkinson’s disease, and anticholinergic medications are often used to help control them. Therefore, while tremors should be monitored, they are not typically a side effect that needs to be reported unless they worsen or become unmanageable.
Choice C rationale
Drooling can be a symptom of Parkinson’s disease, but it is not typically a side effect of anticholinergic medications. In fact, these medications can sometimes cause dry mouth.
Choice D rationale
Rigidity, like tremors, is a common symptom of Parkinson’s disease. Anticholinergic medications can help manage rigidity, so it is not typically a side effect that needs to be reported unless it worsens.
Correct Answer is B
Explanation
Choice A rationale
Maintaining systolic BP between 141 and 145 mm Hg is considered high and can increase the risk of stroke.
Choice B rationale
The client should maintain systolic BP between 120 and 129 mm Hg. This is considered a normal blood pressure range and can help reduce the risk of stroke.
Choice C rationale
Maintaining systolic BP between 130 and 135 mm Hg is considered elevated and can increase the risk of stroke.
Choice D rationale
Maintaining systolic BP between 136 and 140 mm Hg is considered high and can increase the risk of stroke.
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