A client who has a new diagnosis of Parkinson's Disease asks the nurse "Why did I develop this disease? What caused it?" Which response should the nurse provide?
"It develops due to an autoimmune reaction after a recent infection."
"The exact cause is unknown, but it's thought to involve a combination of genetics and environmental factors."
"The cause is thought to be reactivation of a virus in cranial nerve VII."
"It is caused by demyelination of nerves in the brain and spinal cord."
The Correct Answer is B
A. Parkinson's disease is not generally considered to be caused by an autoimmune reaction or a recent infection. Autoimmune reactions leading to neurodegeneration are more commonly associated with other conditions such as multiple sclerosis, not Parkinson's disease.
B. The exact cause of Parkinson's disease is indeed unknown, but research suggests that it results from a combination of genetic predispositions and environmental factors. Genetic mutations may contribute to the development of Parkinson's disease in some individuals, while environmental factors such as exposure to certain toxins or other external influences might also play a role. The interplay between these factors is still being studied.
C. There is no evidence to support the idea that Parkinson's disease is caused by the reactivation of a virus affecting cranial nerve VII (the facial nerve). Parkinson's disease involves the degeneration of dopamine-producing neurons in the brain, not specifically related to viral reactivation or isolated to cranial nerve VII.
D. Demyelination of nerves is characteristic of multiple sclerosis, not Parkinson's disease. In Parkinson's disease, the primary issue is the loss of dopamine-producing neurons in the substantia nigra of the brain, not demyelination. This option describes a different pathological process unrelated to Parkinson's disease.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
. Shellfish allergies are related to potential reactions to iodinated contrast media used in imaging studies, such as CT scans, rather than to spirometry. Spirometry does not involve contrast media or shellfish, so this question is not pertinent for this test.
B.A Metal implants are typically a concern for imaging tests like MRI, which involve strong magnetic fields. Spirometry, however, does not involve any imaging or use of magnetic fields, so metal implants do not affect spirometry results. Thus, this question is not relevant for spirometry preparation.
C. This is a relevant question for spirometry testing. Bronchodilators are medications used to open the airways and improve breathing. They can affect spirometry results if taken shortly before the test. For accurate assessment, the nurse needs to know if the client has used any bronchodilators, as they might need to adjust the testing protocol or account for the medication's effects on lung function.
D. Spirometry does not typically involve enclosed spaces that would trigger claustrophobia, as it is a breathing test usually performed with the client sitting comfortably in an open space. Claustrophobia is more relevant to imaging studies like MRIs or CT scans, where the client might be in a confined space.
Correct Answer is D
Explanation
A. Furosemide is a loop diuretic used to manage conditions such as hypertension and fluid retention. While furosemide has potential side effects, it is not specifically associated with an increased risk of developing cataracts.
B. Albuterol is a bronchodilator used to treat conditions such as asthma and chronic obstructive pulmonary disease (COPD). It is not associated with an increased risk of cataracts. Albuterol primarily affects the respiratory system and does not have a known link to cataract development.
C. Gentamicin is an antibiotic used to treat various bacterial infections. While gentamicin can have adverse effects on hearing and kidneys, it is not specifically associated with an increased risk of cataracts. Antibiotics like gentamicin do not have a well-established link to cataract development.
D. Aspirin is a nonsteroidal anti-inflammatory drug (NSAID) commonly used for pain relief, anti- inflammatory purposes, and cardiovascular protection. Long-term use of high doses of aspirin or other NSAIDs has been associated with various eye issues, including cataract formation.
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