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?”
The Correct Answer is B
Choice A Reason:
Asking about the last physical exam is important for understanding the client’s overall health history, but it is not the most critical question for assessing the risk factors specific to Parkinson’s disease.
Choice B Reason:
This is the correct answer. Family history is a significant risk factor for Parkinson’s disease. Genetic factors can play a role in the development of the disease, and knowing if any family members have Parkinson’s can help in understanding the client’s risk and planning appropriate care.
Choice C Reason:
While occupational history can provide insights into potential environmental exposures that might contribute to Parkinson’s disease, it is not as directly relevant as family history in assessing the risk of developing the disease.
Choice D Reason:
The amount of coffee consumed daily is not directly related to the risk of developing Parkinson’s disease. Some studies suggest that caffeine might have a protective effect, but this is not a primary factor in assessing the disease.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Choice A Reason:
Monitoring for changes in urine color, such as maroon or red-colored urine, is not typically associated with peptic ulcers. These changes could indicate other conditions, such as urinary tract infections or kidney issues.
Choice B Reason:
Ecchymosis, or bruising, on the sides of the abdomen or pelvic areas is not a common symptom of peptic ulcers. This could be related to other medical conditions, such as trauma or bleeding disorders.
Choice C Reason:
This is the correct answer. Dark or black-colored stool, known as melena, can indicate gastrointestinal bleeding, which is a serious complication of peptic ulcers. It is crucial for patients to monitor their stool color and report any changes to their healthcare provider immediately.
Choice D Reason:
Monitoring for unintentional weight gain is not directly related to peptic ulcers. While weight changes can be a sign of various health issues, they are not specific indicators of complications from peptic ulcers.
Correct Answer is C
Explanation
Choice A Reason:
Removing the protective gown before removing gloves is incorrect. The correct procedure is to remove gloves first, followed by the gown, to prevent contamination from the gown to the hands.
Choice B Reason:
Using an electronic thermometer is not recommended for clients with Clostridium difficile. Disposable thermometers or dedicated equipment should be used to prevent cross-contamination.
Choice C Reason:
This is the correct answer. The protective gown should be removed before leaving the client’s room to prevent the spread of Clostridium difficile spores to other areas of the healthcare facility. Proper removal and disposal of PPE are crucial in infection control.
Choice D Reason:
Shaking bed linens is incorrect as it can aerosolize Clostridium difficile spores, increasing the risk of spreading the infection. Linens should be carefully handled and placed in a linen bag without shaking.
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