The nurse assists a client with Parkinson's disease to ambulate in the hallway. The client appears to "freeze" and then carefully lifts one leg and steps forward. The client tells the nurse of pretending to step over a crack on the floor. How should the nurse respond?
Plan to assess the client's cognition after returning to the room.
Confirm that this is an effective technique to help with ambulation.
Assist the client to a carpeted area to walk more easily.
Reorient the client to the present location and circumstances.
The Correct Answer is B
A. Assessing the client's cognition may be appropriate if there are concerns about cognitive function, but in this scenario, the client's response indicates a coping mechanism for freezing episodes rather than cognitive impairment.
B. Confirming that the client's technique of pretending to step over a crack is an effective strategy acknowledges the client's self-initiated coping mechanism for freezing episodes, which can help promote independence in ambulation.
C. Assisting the client to a carpeted area may help reduce the risk of falls but does not directly address the freezing episode or the client's coping strategy.
D. Reorienting the client to the present location and circumstances is unnecessary as the client's response indicates a conscious coping strategy rather than confusion or disorientation.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A. While using salt, herbs, and spices may enhance the flavor of foods, it does not specifically relate to self-management of type 2 diabetes mellitus.
B. Restricting alcoholic beverages is important in diabetes management, but the frequency and quantity recommended may vary based on individual factors and should be discussed with a healthcare provider.
C. Eating a protein snack before exercise can help stabilize blood sugar levels, but it should be consumed before and after exercise, not only before, to provide sustained energy.
D. Getting an influenza vaccine every year is a crucial aspect of diabetes self- management, as people with diabetes are at increased risk of complications from influenza. This demonstrates understanding of the importance of preventive care in managing diabetes.
Correct Answer is A
Explanation
A. Wearing braces on both wrists during the night can help maintain a neutral wrist position and alleviate pressure on the median nerve, reducing symptoms of carpal tunnel syndrome.
B. Notifying the healthcare provider may be necessary if symptoms worsen or if additional interventions are needed, but this is not the first-line intervention for managing symptoms at night.
C. Elevating the hands on two pillows at night may provide some relief, but it is not as effective as wearing wrist braces to maintain proper alignment and reduce pressure on the median nerve.
D. Applying cold compresses before bedtime may help reduce inflammation but is not specifically targeted at alleviating nighttime symptoms of carpal tunnel syndrome.
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