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. High fever. – Incorrect. Fever can occur with infection but is not a hallmark sign of sickle cell crisis.
B. Constipation. – Incorrect. Constipation is not a defining symptom of sickle cell crisis.
C. Bradycardia. – Incorrect. Tachycardia, not bradycardia, is common due to pain and hypoxia.
D. Pain. – Correct Answer. Severe pain is the most common symptom of sickle cell crisis due to vaso-occlusion and ischemia.
Correct Answer is B
Explanation
A. Incorrect → Insulin injections should be administered at a 90-degree angle unless the patient has minimal subcutaneous fat, in which case a 45-degree angle is used. A 25-degree angle is too shallow and may lead to improper absorption.
B. Rotating insulin injection sites helps prevent lipodystrophy and ensures consistent absorption. The patient’s decision to inject in the thigh after using the abdomen in the morning demonstrates proper site rotation.
C. Incorrect → Insulin should be administered with a U-100 insulin syringe (not a 1 mL syringe) to ensure accurate dosing.
D. Incorrect → While injecting an inch away from a previous site is reasonable, the preferred practice is rotating between different anatomical sites to prevent tissue damage and inconsistent absorption.
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