Assessment of the patient with Parkinson's would include:
Fall risk assessment
Swallowing assessment
Skin assessment
All of the above
The Correct Answer is D
Choice A: Fall risk assessment is important for patients with Parkinson's, as they may have impaired balance, gait, and coordination, as well as muscle stiffness and tremor, that can increase their risk of falling and injuring themselves¹.
Choice B: Swallowing assessment is important for patients with Parkinson's, as they may have difficulty chewing and swallowing due to reduced muscle control in the mouth and throat, which can lead to malnutrition, dehydration, and aspiration pneumonia¹.
Choice C: Skin assessment is important for patients with Parkinson's, as they may have reduced sweating and sebum production due to autonomic dysfunction, which can cause dry and cracked skin that is prone to infection¹.
Choice D: All of the above is correct, as all of these assessments are relevant for patients with Parkinson's.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
Choice A: Return to hospital immediately if patient is having severe headache or vomiting is correct because it can indicate increased intracranial pressure, bleeding, swelling, or infection in the brain. These are serious complications that can cause permanent damage or death. The patient and family should seek medical atention as soon as possible and not wait for other symptoms to appear.
Choice B: Return to hospital immediately for changes in level of consciousness is correct because it can also indicate worsening brain injury or complications from a head injury. Changes in level of consciousness can include confusion, drowsiness, agitation, or loss of awareness. The patient and family should monitor the patient's mental status and alertness and report any changes to the doctor.
Choice C: Call ambulance if unable to arouse patient is correct because it can mean that the patient has lost consciousness or is in a coma. This is a medical emergency that requires immediate intervention and resuscitation. The patient and family should not atempt to move or transport the patient by themselves but call for professional help.
Choice D: All of the above are correct because they are important instructions for the patient and family to follow when discharging patient home following a head injury. They can help prevent further harm or complications and ensure prompt treatment and recovery. The nurse should educate the patient and family about these instructions and provide them with writen information and contact numbers.
Correct Answer is D
Explanation
Choice A: Maintenance of clear airway is a goal for a patient with altered level of consciousness, as it can prevent aspiration, hypoxia, and respiratory failure.
Choice B: Maintenance of skin integrity is a goal for a patient with altered level of consciousness, as it can prevent pressure ulcers, infection, and sepsis.
Choice C: Protection from injury is a goal for a patient with altered level of consciousness, as it can prevent falls, fractures, and trauma.
Choice D: All of the above is correct, as all of these goals are relevant for a patient with altered level of consciousness.
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