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

Answer and Explanation

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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Correct Answer is A

Explanation

Choice A rationale
Rebleeding of the injury is a significant factor related to a high mortality rate for a client who has a subarachnoid hemorrhage (SAH). SAH is a devastating event with substantial mortality and high morbidity among survivors. The most common primary causes of death or neurological devastation leading to withdrawal of support are direct effects of the primary hemorrhage (55%) and aneurysm rebleeding (17%)2. Therefore, rebleeding of the injury is a critical concern in the management of SAH.
Choice B rationale
Decreased cerebrospinal fluid is not directly linked to a high mortality rate in SAH. While changes in cerebrospinal fluid dynamics can occur after SAH, it’s not typically a primary factor contributing to mortality.
Choice C rationale
The use of nimodipine is actually part of the treatment protocol for SAH. Nimodipine is a calcium channel blocker that is used to prevent cerebral vasospasm, a complication of SAH. It does not contribute to a higher mortality rate.
Choice D rationale
Poor functional ability could be a result of SAH due to neurological damage, but it is not a direct cause of high mortality. The severity of the initial hemorrhage and subsequent

complications like rebleeding or medical complications are more directly tied to mortality rates.

A. “The nerves just go to sleep when I lie down because no message gets from my brain to the spinal cord.”. B. “The nerve damage may occur for unknown reasons in any individual.”. C. “The older I get, the less blood flows to my feet.”. D. “The elevated blood sugar from my diabetes can cause underlying nerve damage.”.

Correct Answer is D

Explanation

Choice A rationale
This statement is incorrect. Nerves do not “go to sleep.”. Peripheral neuropathy in diabetes is caused by damage to the nerves as a result of high blood sugar levels over time.
Choice B rationale
This statement is incorrect. While nerve damage can occur due to various reasons, in the context of diabetes, it is primarily due to prolonged high blood sugar levels.
Choice C rationale
This statement is incorrect. Age and blood flow to the feet are not the primary causes of peripheral neuropathy in diabetes. The primary cause is prolonged high blood sugar levels.
Choice D rationale
This statement is correct. Prolonged high blood sugar levels in diabetes can cause damage to the peripheral nerves, leading to peripheral neuropathy.

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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?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse is assisting with planning care for a client who has a subarachnoid hemorrhage (SAH). Which of the following relates to a high mortality rate for a client who has an SAH?

Correct Answer is A

Explanation

A client with uncontrolled diabetes mellitus reports experiencing numbness and tingling in their feet that disrupts their sleep.The nurse explains this as a nerve disorder known as peripheral neuropathy. Which statement by the client indicates they understand the cause of this condition?

Correct Answer is D

Explanation

A nurse is caring for a client admitted with meningitis. The student nurse asks, “I know that the client has a lot of edema in the brain, but what causes it?” Which of the following responses from the nurse best answers the student’s querry

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?

A nurse is caring for an older adult patient in the emergency department who sustained a head injury due to a fall. Which of the following are common causes of head injuries in older adults?

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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?