The nurse observes that a client with Parkinson’s disease (PD) has a mask-like face. Which follow-up assessment is most important for the nurse to implement?

Note the frequency of drooling.

Observe the appearance of oral mucosa.

Assess patterns of speech.

Determine the ability to chew and swallow.

Answer and Explanation

The Correct Answer is D

Choice A reason: While noting the frequency of drooling is important, it is not the most critical assessment.
Choice B reason: Observing the appearance of oral mucosa is less critical than assessing the ability to swallow.
Choice C reason: Assessing speech patterns is important but secondary to swallowing ability in terms of immediate safety.
Choice D reason: This is the correct choice. The ability to chew and swallow is crucial for preventing aspiration and maintaining nutrition.

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Correct Answer is B

Explanation

Choice A reason: Severe fatigue is a symptom that can be associated with many conditions and is not specific to Wilms tumor.
Choice B reason: This is the correct choice. A palpable abdominal mass is often the first sign of a Wilms tumor that prompts medical evaluation.
Choice C reason: Seizures are not typically associated with Wilms tumor.
Choice D reason: Hematuria can occur with Wilms tumor, but it is not as common as the presentation of an abdominal mass.

A. Allowing parents to hold, touch, and rock the infant without time limits. B. Interviewing parents to determine the cause of the incident. C. Providing mementos such as footprints and blankets. D. Advising parents that an autopsy is not necessary and may worsen the grief process.

Correct Answer is A

Explanation

Choice A reason: Allowing parents to hold their infant is a compassionate act that acknowledges their need for closure and can help them begin the grieving process.

Choice B reason: Interviewing parents to determine the cause of the incident is not considered supportive care; it may be part of an investigation but does not provide comfort.

Choice C reason: Providing mementos can be a cherished way for parents to remember their infant and can offer some solace during a difficult time.

Choice D reason: Advising parents about the necessity of an autopsy is not supportive care; it is a medical decision that should be discussed with sensitivity to the parents' feelings and needs. Autopsies can be important for understanding SIDS and preventing future occurrences.

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The nurse observes that a client with Parkinson’s disease (PD) has a mask-like face. Which follow-up assessment is most important for the nurse to implement?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

What clinical manifestation associated with a Wilms tumor is the reason most children are initially brought in to be seen by a provider?

Correct Answer is B

Explanation

Which two interventions are considered supportive care for a family whose infant has died from sudden infant death syndrome (SIDS)?

Correct Answer is A

Explanation

For an adolescent client diagnosed with rheumatoid arthritis, which non-pharmacological measure is most appropriate to reduce joint pain?

The nurse is preparing an older client for a magnetic resonance imaging (MRI) with contrast. Which laboratory value should the nurse report to the healthcare provider before the scan is performed?

An infant with tetralogy of Fallot is having a hypercyanotic episode ('tet' spell). Which three nursing interventions are appropriate for the nurse to implement for this infant?

An 17-year-old with a rash and itching in the groin area is concerned that he has contracted a sexually transmitted disease and does not want his parents to find out. The nurse's best response is:

A child is diagnosed with sickle cell disease. The parents are unsure how their child contracted the disease. Which explanation by the nurse is the most appropriate?

What is the likely result of a child fracturing a bone through a portion of the epiphyseal plate?

When obtaining a history from the father of a 9-year-old boy with rheumatic fever, the nurse recognizes that the most significant information related to the diagnosis is:

The nurse prepares a teaching plan for an adult patient with metabolic syndrome. Which findings should the nurse address to help the patient reduce the risk for diabetes mellitus and vascular disease? (Select all that apply.)