A nurse is caring for a client newly diagnosed with Parkinson’s disease.
The client states, “I have no idea why I got this.”. What is the most important he nurse should ask this client while performing the assessment?

What kind of work do you do?

Do you have any family members with Parkinson’s disease?

How much coffee do you drink every day?

When did you have your last physical?

Answer and Explanation

The Correct Answer is B

Choice A rationale
While the type of work a person does can potentially expose them to risk factors for Parkinson’s disease (such as pesticides or heavy metals), it is not the most important question to ask a newly diagnosed patient. Occupational exposure is only one of many potential risk factors for Parkinson’s disease.
Choice B rationale

Family history is a significant risk factor for Parkinson’s disease. A person with a close relative (such as a parent or sibling) who has Parkinson’s disease is at a higher risk of developing the disease themselves. Therefore, asking about family history can provide important information about the patient’s risk profile.
Choice C rationale
While some studies have suggested that caffeine intake may be associated with a lower risk of Parkinson’s disease, the evidence is not conclusive. Therefore, asking about coffee consumption is not the most important question when assessing a newly diagnosed patient.
Choice D rationale
While regular physical check-ups are important for overall health, asking about the timing of the last physical is not the most important question for a newly diagnosed Parkinson’s patient. The focus should be on understanding the patient’s symptoms, family history, and potential exposure to known risk factors for Parkinson’s disease.

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Correct Answer is B

Explanation

Choice A rationale
Maintaining systolic BP between 141 and 145 mm Hg is considered high and can increase the risk of stroke.
Choice B rationale

The client should maintain systolic BP between 120 and 129 mm Hg. This is considered a normal blood pressure range and can help reduce the risk of stroke.
Choice C rationale
Maintaining systolic BP between 130 and 135 mm Hg is considered elevated and can increase the risk of stroke.
Choice D rationale
Maintaining systolic BP between 136 and 140 mm Hg is considered high and can increase the risk of stroke.

A. Administer acetaminophen by mouth for pain control B. Perform a thorough health history C. Prepare for a STAT non-contrast CT scan D. Insert an indwelling urinary catheter to monitor urine output

Correct Answer is C

Explanation

Choice A rationale
Administering acetaminophen by mouth for pain control is important, but it is not the first intervention that should be implemented for a client who has had a traumatic fall. Pain management is crucial, but it is not the immediate priority in this situation.
Choice B rationale
Performing a thorough health history is a part of the nursing assessment, but it is not the first intervention in an acute situation such as a traumatic fall. Immediate physical needs and potential injuries need to be addressed first.
Choice C rationale

Preparing for a STAT non-contrast CT scan is the correct answer. After a traumatic fall, it is crucial to quickly assess for potential injuries, especially to the brain. A CT scan can help identify any immediate life-threatening conditions such as bleeding in the brain.
Choice D rationale
Inserting an indwelling urinary catheter to monitor urine output is an intervention that may be necessary depending on the client’s condition, but it is not the first intervention to be implemented after a traumatic fall.

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A nurse is caring for a client newly diagnosed with Parkinson’s disease. The client states, “I have no idea why I got this.”. What is the most important he nurse should ask this client while performing the assessment?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is providing discharge instruction to a client who has hypertension that has resulted in a transient ischemic attack (TIA). Which of the following information should the nurse discuss with the client regarding blood pressure (BP) management?

Correct Answer is B

Explanation

A nurse is caring for a client who has had a traumatic fall. Which of the following interventions should the nurse implement first?

Correct Answer is C

Explanation

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A nurse is caring for a client newly diagnosed with Parkinson’s disease.
The client states, “I have no idea why I got this.”. What is the most important he nurse should ask this client while performing the assessment?