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?
Determine the ability to chew and swallow.
Assess patterns of speech.
Note the frequency of drooling.
Observe the appearance of oral mucosa.
The Correct Answer is A
Choice A reason:
The correct answer is a) because a mask-like face in Parkinson's disease can affect the ability to chew and swallow, increasing the risk of aspiration and nutritional deficiencies.
Choice B reason: Assessing speech patterns is important but secondary to ensuring the client can chew and swallow safely.
Choice C reason: Noting the frequency of drooling can indicate difficulties with swallowing, but determining the ability to chew and swallow is more critical.
Choice D reason: Observing the appearance of the oral mucosa is important for overall oral health but does not address the immediate risk of aspiration and nutritional concerns.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Choice A reason: Keeping the room temperature cool may help with comfort but is not the immediate priority.
Choice B reason: Determining the client's food preferences is important for nutritional management but is not the first action to take.
Choice C reason:
The correct answer is c) because maintaining a patent intravenous site is crucial for administering fluids and medications to address severe dehydration and malnutrition.
Choice D reason: Teaching relaxation techniques can help with restlessness but is not the most immediate concern.
Correct Answer is B
Explanation
Choice A reason: Teaching the client to use pursed lip breathing is helpful for managing breathing difficulties, but it is not the first action to address exercise-induced bronchoconstriction.
Choice B reason:
The correct answer is b) because determining if the client is using an inhaler before exercising is crucial to prevent bronchoconstriction and manage asthma symptoms effectively.
Choice C reason: Assessing for signs and symptoms of upper airway infection is important but is not directly related to exercise-induced bronchoconstriction.
Choice D reason: Reviewing the client's routine asthma management prescriptions is important but should come after addressing the immediate concern of exercise-induced symptoms.
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