A nurse is caring for a client who is newly diagnosed with Parkinson's disease. The client states, "I have no idea why I got this." Which of the following is the most important question the nurse should ask this client while performing the assessment?

"When did you have your last physical?"

"Do you have any family members with Parkinson's disease?"

What kind of work do you do?"

"How much coffee do you drink every day?"

Answer and Explanation

The Correct Answer is B

Choice A Reason:

"When did you have your last physical?": This question is relevant to assess the client's overall health status and identify any potential comorbidities or health conditions that may be associated with Parkinson's disease. However, it is not as crucial as asking about family history, which directly addresses the client's potential genetic predisposition to Parkinson's disease.

Choice B Reason:

"Do you have any family members with Parkinson's disease?" Parkinson's disease can have both genetic and environmental factors contributing to its development. While the exact cause of Parkinson's disease is not fully understood, having a family history of the condition is a significant risk factor. Individuals with first-degree relatives (parents, siblings, or children) who have Parkinson's disease have an increased risk of developing the condition themselves.

Choice C Reason:

"What kind of work do you do?": This question aims to gather information about the client's occupational history and potential exposure to environmental toxins or factors that may be associated with Parkinson's disease. Certain occupations or exposures to pesticides, herbicides, heavy metals, or other toxins have been linked to an increased risk of Parkinson's disease. While occupational history is important, it is not as directly relevant to assessing the client's risk factors as asking about family history.

Choice D Reason:

"How much coffee do you drink every day?": Research has suggested that caffeine consumption may be associated with a reduced risk of Parkinson's disease or may potentially delay its onset. However, the evidence is not definitive, and the relationship between caffeine intake and Parkinson's disease is still not fully understood. While caffeine consumption may be a relevant factor to explore, especially if the client has a high intake of coffee, it is not as critical as inquiring about family history, which directly addresses genetic predisposition to Parkinson's disease.

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Correct Answer is A

Explanation

Choice A Reason:

Typical pneumonia is correct. Streptococcus pneumoniae is a common bacterial pathogen that causes typical pneumonia, also known as community-acquired pneumonia (CAP). Typical pneumonia is characterized by an acute onset of symptoms such as fever, productive cough with purulent sputum, chest pain, and difficulty breathing. Streptococcus pneumoniae is one of the most common causes of typical pneumonia, especially in community settings.

Choice B Reason:

Chemical pneumonitis is incorrect. chemical pneumonitis, refers to inflammation of the lung tissue caused by inhalation or aspiration of toxic chemicals, gases, or gastric contents. It is not caused by Streptococcus pneumoniae.

Choice C Reason:

Atypical pneumonia is incorrect. Atypical pneumonia, refers to pneumonia caused by atypical pathogens such as Mycoplasma pneumoniae, Chlamydophila pneumoniae, and Legionella pneumophila. Atypical pneumonia typically presents with milder symptoms compared to typical pneumonia and may not respond to traditional antibiotics used for typical bacterial pneumonia.

Choice D Reason:

Aspiration pneumonia. Aspiration pneumonia, occurs when foreign material, such as food, saliva, or gastric contents, is aspirated into the lungs, leading to inflammation and infection. While Streptococcus pneumoniae can cause pneumonia in the context of aspiration, it is more commonly associated with typical pneumonia acquired through inhalation of respiratory droplets containing the bacteria.

A. "Have you had any nausea and vomiting with your headache?" B. "Are you bothered by the lights in here?" C. "Have you noticed any confused or cloudy thinking?" D. "Have you experienced or are you experiencing any strange smells?" E. "Did you feel weak before the headache started or do you feel weak now?"

Correct Answer is ["A","B","D"]

Explanation

Choice A Reason:

"Have you had any nausea and vomiting with your headache?": This question is appropriate. Nausea and vomiting are common symptoms associated with migraines. Asking about these symptoms can help confirm the diagnosis of a migraine headache.

Choice B Reason:

"Are you bothered by the lights in here?" This question is appropriate. Sensitivity to light, known as photophobia, is a classic symptom of migraines. Inquiring about light sensitivity can provide additional evidence for the diagnosis.

Choice C Reason:

"Have you noticed any confused or cloudy thinking?". This question is inappropriate. Confusion or cognitive symptoms are not typical of migraines. However, some individuals may experience difficulty concentrating or cognitive symptoms during a migraine aura. This question may help assess for aura symptoms.

Choice D Reason
Have you experienced or are you experiencing any strange smells?" This question is appropriate. Some individuals may experience olfactory hallucinations or sensitivity to odors during a migraine aura. Asking about strange smells can help identify possible aura symptoms.

Choice E Reason:

"Did you feel weak before the headache started or do you feel weak now?" This question is inappropriate. While weakness is not a typical symptom of migraines, some individuals may experience fatigue or muscle weakness during a migraine attack. This question may help assess the overall impact of the headache on the client.

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A nurse is caring for a client who is newly diagnosed with Parkinson's disease. The client states, "I have no idea why I got this." Which of the following is the most important question the nurse should ask this client while performing the assessment?

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Naxlex Comprehensive Predictor Exams

A nurse is caring for a client admitted with pneumonia caused by Streptococcus pneumoniae. Which of the following types of pneumonia is Streptococcus pneumoniae?

Correct Answer is A

Explanation

A client who has a history of migraines reports to a clinic with a throbbing headache. Which of the following questions should the nurse include in the assessment? (Select All that Apply.)

Correct Answer is ["A","B","D"]

Explanation

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