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?
When did you have your last physical?
The Correct Answer is B
Choice A rationale
While the type of work a person does can potentially expose them to risk factors for Parkinson’s disease (such as pesticides or heavy metals), it is not the most important question to ask a newly diagnosed patient. Occupational exposure is only one of many potential risk factors for Parkinson’s disease.
Choice B rationale
Family history is a significant risk factor for Parkinson’s disease. A person with a close relative (such as a parent or sibling) who has Parkinson’s disease is at a higher risk of developing the disease themselves. Therefore, asking about family history can provide important information about the patient’s risk profile.
Choice C rationale
While some studies have suggested that caffeine intake may be associated with a lower risk of Parkinson’s disease, the evidence is not conclusive. Therefore, asking about coffee consumption is not the most important question when assessing a newly diagnosed patient.
Choice D rationale
While regular physical check-ups are important for overall health, asking about the timing of the last physical is not the most important question for a newly diagnosed Parkinson’s patient. The focus should be on understanding the patient’s symptoms, family history, and potential exposure to known risk factors for Parkinson’s disease.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
Choice A rationale
Monitoring volume status is important in managing increased ICP, but it is not a direct intervention to reduce ICP78.
Choice B rationale
Ensuring proper ventriculostomy transducer levels is important in monitoring ICP, but it is not a direct intervention to reduce ICP78.
Choice C rationale
Managing sedation can help control agitation and excessive muscular activity, which can potentially increase ICP. However, it is not a direct intervention to reduce ICP78.
Choice D rationale
Elevating the head of the bed 15 degrees can help promote venous drainage, enhance cerebral perfusion, and reduce ICP78.
Correct Answer is A
Explanation
Choice A rationale
Bruising over the mastoid process, also known as Battle’s sign, is a classic clinical sign of a basilar skull fracture.
Choice B rationale
Pooling of blood and edema around the eyes, or ‘raccoon eyes’, is another sign of a basilar skull fracture.
Choice C rationale
The ability to recall how the injury occurred is not directly related to the presence of a basilar skull fracture. Memory loss or confusion could be symptoms of a traumatic brain injury, but they are not specific to a basilar skull fracture.
Choice D rationale
Chvostek’s sign is a clinical sign of hypocalcemia, not a basilar skull fracture
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