The daughter of an older woman who has Parkinson's disease, calls the clinic and reports that her mother has been confused for the past week. Which action(s) should the nurse take? (Select all that apply.)

Determine if the mother has recently experienced a fall.

Review the client's current food and medication allergies.

Encourage increased intake of high protein foods.

Instruct the daughter to check her mother's temperature.

Ask if the mother is experiencing any pain with

Answer and Explanation

Correct Answer : A,B,D,E

A. Confusion can be a sign of a concussion or other injury resulting from a fall, which is a common risk for individuals with Parkinson's disease.
B. Reviewing the client's current food and medication allergies is important as allergies can contribute to confusion if the client is exposed to an allergen.
C. Encouraging increased intake of high protein foods is generally recommended for individuals with Parkinson's disease, but it is not directly related to the acute onset of confusion.
D. Checking the mother's temperature is a direct action to assess for infection, which can be a cause of acute confusion, especially in older adults.
E. Pain with urination could indicate a urinary tract infection, which is another common cause of confusion in the elderly. It is important to assess for this possibility.

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

Explanation

A. A diet low in phosphorus is not typically indicated for cirrhosis of the liver. Cirrhosis primarily affects the body's ability to handle proteins and not phosphorus.
B. Noting signs of swelling and edema is important as these are common complications of cirrhosis due to hypoalbuminemia and portal hypertension.
C. Increasing oral fluid intake is not advised as it can exacerbate fluid retention and ascites, which are complications of cirrhosis.
D. Monitoring abdominal girth is crucial for assessing changes in ascites and potential fluid overload.
E. Reporting serum albumin and globulin levels is essential as these can indicate the severity of liver disease and help guide treatment.

A. Conversion of the client's PPD test from negative to positive B. History of intravenous drug abuse C. Current diagnosis of hepatitis B D. Length of time of exposure to tuberculosis

Correct Answer is C

Explanation

A. Conversion of the PPD test from negative to positive indicates exposure to tuberculosis but does not contraindicate the administration of isoniazid. It may actually indicate the need for prophylactic treatment.

B. A history of intravenous drug abuse is not directly related to the administration of isoniazid. However, it may be important for assessing risk factors for tuberculosis transmission and adherence to treatment.

C. Isoniazid can cause hepatotoxicity, so it is essential to assess for pre-existing liver conditions such as hepatitis B before administering the medication. Hepatitis B may increase the risk of liver damage associated with isoniazid.

D. The length of time of exposure to tuberculosis is important for assessing the risk of infection and determining the need for prophylactic treatment but does not impact the administration of isoniazid.

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The daughter of an older woman who has Parkinson's disease, calls the clinic and reports that her mother has been confused for the past week. Which action(s) should the nurse take? (Select all that apply.)

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Naxlex Comprehensive Predictor Exams

A client with cirrhosis of the liver is admitted with complications related to end stage liver disease. Which intervention(s) should the nurse implement? (Select all that apply.)

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

Explanation

A client exposed to tuberculosis is scheduled to begin prophylactic treatment with isoniazid. Which information is most important for the nurse to note before administering the initial dose?

Correct Answer is C

Explanation

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The daughter of an older woman who has Parkinson's disease, calls the clinic and reports that her mother has been confused for the past week. Which action(s) should the nurse take? (Select all that apply.)

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