A nurse in a long-term care facility is collecting data for an interdisciplinary care conference for a client who has Parkinson's disease. Which of the following findings is the priority for the nurse to report at the conference?
The client requires additional help to stand.
The client has increased difficulty dressing
The client reports insomnia.
The client has difficulty swallowing
The Correct Answer is D
A. The client requires additional help to stand:
While needing additional help to stand is relevant information, it may be expected in Parkinson's disease due to issues with mobility and balance. It is not an immediate priority unless it signals a significant change or poses an immediate risk.
B. The client has increased difficulty dressing:
Increased difficulty dressing is a common manifestation of Parkinson's disease and is important to address but may not be as urgent as issues related to swallowing.
C. The client reports insomnia:
Insomnia is a common issue in Parkinson's disease but may not be an immediate priority unless it significantly impacts the client's overall well-being or contributes to other health concerns.
D. The client has difficulty swallowing:
This is the correct answer. Difficulty swallowing (dysphagia) in Parkinson's disease is a serious concern as it can lead to complications such as aspiration pneumonia and malnutrition. It requires prompt attention and intervention to ensure the client's safety and prevent potential complications.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
A. Informed consent:
While informed consent may include information about the surgical procedure and potential risks, it typically does not address organ donation. Organ donation is usually a separate decision and may be documented in advance directives.
B. Do-not-resuscitate order:
A do-not-resuscitate (DNR) order specifies the client's wishes regarding resuscitation in the event of cardiac or respiratory arrest but does not contain information about organ donation.
C. Advance directives.
Advance directives are legal documents that outline a person's preferences for medical treatment in the event they become unable to communicate or make decisions for themselves. Within advance directives, individuals may express their wishes regarding organ donation. It's common for individuals to specify their desire to be an organ donor in these documents.
D. Provider's prescription:
A provider's prescription is a medical order for a specific treatment or medication. It does not typically contain information about organ donation, which is a personal decision made by the individual and documented in advance directives.
Correct Answer is ["C","D"]
Explanation
A. Teach a client about hemodialysis:
Educating clients about hemodialysis may require specialized knowledge that might exceed the standard nursing scope. However, nurses may provide basic information and support related to the procedure.
B. Create a plan of care for a client's discharge:
Although nurses often contribute to discharge planning by providing input, assessing needs, and communicating with the care team, the creation of a complete discharge plan may involve multidisciplinary collaboration, including social workers, case managers, and physicians.
C. Assist in checking a unit of packed RBCs to administer to a client:
Nurses are often responsible for verifying blood components (like packed red blood cells) before administration, ensuring proper patient identification, compatibility, and correct handling of the blood product.
D. Regulate the client's infusion pump after initiating a heparin drip infusion:
Nurses frequently regulate and monitor infusion pumps after starting medication infusions, ensuring the correct rate of administration according to the prescribed dosage.
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