The nurse is providing care for an 82-year-old man whose signs and symptoms of Parkinson’s disease have worsened over the past several months.
The man states that he can no longer do as many things for himself as he used to be able to. What factor should the nurse recognize as impacting the client’s life most significantly?

Tremors and decreased mobility

Loss of independence

Age-related changes

Neurologic deficits

Answer and Explanation

The Correct Answer is B

Choice A rationale
While tremors and decreased mobility are common symptoms of Parkinson’s disease, they are not the most significant impact on a patient’s life. These physical symptoms can be managed with medication and physical therapy.
Choice B rationale
Loss of independence is often the most significant impact on a patient’s life. As the disease progresses, patients may find it increasingly difficult to perform daily activities and may require assistance.

Choice C rationale
Age-related changes can contribute to the progression of Parkinson’s disease, but they are not the most significant impact on a patient’s life. The disease itself, rather than aging, is the primary cause of the symptoms.
Choice D rationale
Neurologic deficits are a result of Parkinson’s disease, but they are not the most significant impact on a patient’s life. The loss of independence that results from these deficits is often more impactful.

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Correct Answer is C

Explanation

Choice A rationale
While participation in multiple-step activities can provide mental stimulation, it may be challenging for a patient with Alzheimer’s disease. These activities often require a level of cognitive functioning that may be impaired in Alzheimer’s patients. As a result, these activities could lead to frustration and agitation rather than fostering socialization.
Choice B rationale
Hobbies involving fine motor skills can be beneficial for maintaining dexterity and coordination. However, as Alzheimer’s disease progresses, these skills often decline. Therefore, while these hobbies may be enjoyable, they may not necessarily foster socialization.
Choice C rationale
Limiting visitors to one or two at a time can help to prevent overstimulation, which can be distressing for a person with Alzheimer’s disease. Smaller, more intimate gatherings can also foster more meaningful social interactions. Therefore, this approach can be beneficial for promoting socialization.
Choice D rationale
While social interaction is important for people with Alzheimer’s disease, frequent lengthy visits from friends may be overwhelming and lead to fatigue. It’s important to balance socialization with rest and relaxation. Therefore, promoting frequent lengthy visits may not be the best approach to foster socialization.

A. Red meat B. Frozen yogurt C. Canned soup D. Shellfish

Correct Answer is C

Explanation

Choice C rationale
Patients with Ménière’s disease are often advised to limit or avoid foods high in sodium, such as canned soup. High sodium intake can increase fluid retention, which can exacerbate the symptoms of Ménière’s disease, such as vertigo, tinnitus, and hearing loss.
Choice A rationale
There is no specific recommendation for patients with Ménière’s disease to limit or avoid red meat. However, a balanced diet that includes lean proteins is generally recommended for overall health.
Choice B rationale
Frozen yogurt is not specifically contraindicated for patients with Ménière’s disease. However, patients should be mindful of the sugar content, as high sugar intake can potentially trigger symptoms.

Choice D rationale
Shellfish is not specifically contraindicated for patients with Ménière’s disease. However, patients should be mindful of the preparation method and any added sodium, which can exacerbate symptoms.

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Naxlex Comprehensive Predictor Exams

A nurse is working with the family of a patient diagnosed with Alzheimer’s disease to develop an appropriate plan of care. Which of the following would the nurse suggest to foster socialization?

Correct Answer is C

Explanation

The nurse is providing discharge education to a patient newly diagnosed with Ménière’s disease. What food should the patient be instructed to limit or avoid?

Correct Answer is C

Explanation

A patient with hypotension has an order for 1000 mL of 0.9% Normal Saline over 3 hours. The tubing drop factor is 10 gtt/mL. How many gtt/min should be given? (This is a med math nd does not require options)

A client has informed the Home Health Nurse that they recently noticed distortions when looking at the Amsler grid kept on their refrigerator. What is the appropriate action for the nurse to take?

The nurse is educating a patient who has been newly prescribed eye medications to treat glaucoma. How can the nurse best determine if the patient can safely and effectively self-administer the medications?

The nurse is caring for a patient recovering from an ischemic stroke. What intervention best addresses a potential complication after an ischemic stroke?

During the performance of a Romberg test, the nurse observes the client sway slightly. What action should the nurse take?

The nurse is caring for a patient suspected of having meningitis. After reviewing the lab results, which medication does the nurse anticipate the provider will prescribe to treat the meningitis?

The nurse is providing patient education to a patient with early-stage Alzheimer’s disease (AD) and their family. The patient has been prescribed donepezil hydrochloride. What should the nurse explain to the patient and family about this drug?

A client with trigeminal neuralgia has been given suggestions to minimize episodes of pain. Which statement, if made by the client, would indicate the need for further teaching?