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:

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.

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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.

A. Portal of entry B. Susceptible host C. Infectious agent D. Reservoir

Correct Answer is A

Explanation

Choice A Reason: Portal of entry

The client’s mouth serves as the portal of entry in the chain of infection. The portal of entry is the route through which an infectious agent enters the host. In the case of hepatitis A, the virus enters the body through the mouth when contaminated food or water is ingested. This link is crucial in the chain of infection as it determines how the pathogen gains access to the host’s body.

Choice B Reason: Susceptible host

A susceptible host is an individual who is at risk of infection due to factors such as a weakened immune system, age, or underlying health conditions. While the client in this scenario may be a susceptible host, the mouth specifically represents the portal of entry, not the host itself.

Choice C Reason: Infectious agent

The infectious agent is the pathogen that causes the disease. In this case, the infectious agent is the hepatitis A virus. The mouth is not the infectious agent but rather the entry point for the virus into the body.

Choice D Reason: Reservoir

A reservoir is the habitat in which the infectious agent normally lives, grows, and multiplies. Common reservoirs include humans, animals, and the environment. The client’s mouth is not a reservoir but the portal of entry for the hepatitis A virus.

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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?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is providing discharge instructions to a client who has a peptic ulcer. Which of the following information should the nurse include in the teaching?

Correct Answer is C

Explanation

A nurse is caring for a client who acquired hepatitis A from consuming contaminated food. The client’s mouth is an example of which of the following links in the chain of infection?

Correct Answer is A

Explanation

A nurse is caring for a client who has a new diagnosis of liver disease. Which of the following manifestations should the nurse expect?

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