A 72-year-old man with Parkinson's is admitted to the hospital for pneumonia. He is experiencing dysphagia which may result in difficultly with:
prosopagnosia
cognition
communication
swallowing
The Correct Answer is D
A. Prosopagnosia – Incorrect. This is inability to recognize faces, unrelated to dysphagia.
B. Cognition – Incorrect. Dysphagia affects swallowing, not cognitive function.
C. Communication – Incorrect. While Parkinson’s can cause speech issues, dysphagia specifically affects swallowing.
D. Swallowing – Correct Answer. Dysphagia is difficulty swallowing, common in Parkinson’s disease due to impaired muscle control.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A. Improve venous circulation and prevent VTE formation. – Incorrect. While repositioning does help with circulation, it is primarily done to prevent pressure injuries.
B. Prevent flexion and contractures of the extremities. – Incorrect. Contracture prevention is important, but passive ROM exercises are more effective for this purpose.
C. Decrease the development of a paralytic ileus. – Incorrect. Paralytic ileus is managed through bowel programs and early mobility, not repositioning alone.
D. Prevent the development of pressure ulcers. – Correct Answer. Paralyzed patients are at high risk for pressure ulcers, especially over bony prominences like the sacrum. Repositioning reduces prolonged pressure, which can lead to skin breakdown.
Correct Answer is B
Explanation
A. Tachycardia does not occur with autonomic dysreflexia.
B. Autonomic dysreflexia is a life-threatening condition caused by a noxious stimulus (e.g., full bladder, constipation) in patients with spinal cord injuries above T6. It leads to severe hypertension and reflex bradycardia.
C. Hypotension is not a symptom; autonomic dysreflexia causes hypertension.
D. Tachycardia and hypotension are more associated with spinal shock rather than autonomic dysreflexia.
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