A nurse is caring for a client in an emergency department.

Exhibits

Complete the diagram by dragging from the choices below to specify what condition the client is most likely experiencing, 2 actions the nurse should take to address that condition, and 2 parameters the nurse should monitor to assess the client's progress

Answer and Explanation

The Correct Answer is []

Based on the provided nurses' notes, the client exhibits symptoms that may suggest a brief psychotic disorder, characterized by delusions, hallucinations, disorganized speech, or grossly disorganized or catatonic behavior. The client's history of similar episodes and family history could support this diagnosis. To assess the client's progress, the nurse should monitor the client's ability to care for themselves and assess any suicide risk due to the client's recent stressors and emotional state. Actions that could be beneficial include reducing external stimuli to prevent sensory overload and engaging with the client several times each day to establish trust, which can help alleviate anxiety and foster a therapeutic environment.

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Correct Answer is A

Explanation

A. Uneven shoulder and pelvic heights are classic signs of scoliosis, visible during a physical examination where one shoulder or hip may appear higher than the other.
B. Mild pain in the hip region is not a specific indicator of scoliosis.

C. Exaggerated curvature of the sacrum is not a specific indicator of scoliosis.

D. Limited range-of-motion of the hips is not a specific indicator of scoliosis

A. Educate clients who are at risk for Parkinson's disease about maintaining a low- cholesterol diet. B. Provide screenings for community members to identify early manifestations of Parkinson's disease. C. Provide daily exercise classes to improve ambulation for clients who have Parkinson's disease. D. Educate clients about common techniques used to diagnose Parkinson's disease.

Correct Answer is C

Explanation

A. This is a primary prevention strategy aimed at reducing the risk of developing Parkinson's disease.
B. This is a secondary prevention strategy aimed at detecting Parkinson's disease in its early stages.
C. Tertiary prevention aims to reduce the impact of a disease or injury that has already occurred. In Parkinson's disease, daily exercise classes can help improve mobility and functionality, thus reducing the impact of the disease.
D. This is also a secondary prevention strategy aimed at early detection of Parkinson's disease.

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Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A school nurse is performing scollosis screenings. The nurse should recognize which of the following clinical manifestations as an Indication of scollosis?

Correct Answer is A

Explanation

A nurse is planning a community health program about Parkinson's disease. Which of the following interventions should the nurse Include as a tertiary prevention strategy?

Correct Answer is C

Explanation

Exhibits Click to specify which of the following actions the nurse should anticipate including in the client's plan of care. Select all that apply.

A nurse is providing discharge teaching to a new parent about breastfeeding her infant. Which of the following statements should the nurse make?

A nurse is providing discharge teaching for the guardian of a school-age child following a cardiac catheterization. Which of the following instructions should the nurse include in the teaching?

A nurse is providing Information for a client who has a new prescription for simvastatin. For which of the following should the nurse Instruct the client to monitor and report to the provider?

A nurse is caring for a client who has vision loss. Which of the following actions should the nurse take? (Select all that apply.)

A nurse in the emergency department is assessing a newly admitted client who is experiencing drooling and hoarseness following a burn injury. Which of the following actions should the nurse take first?

A charge nurse is observing a newly licensed nurse provide care for a client who is postoperative. The newly licensed nurse tells the client that she will insert a urinary catheter if the client will not vold. Which of the following torts should the charge nurse Identify as having occurred?