A nurse is caring for a client who has experienced a stroke and exhibits parkinsonian effects. The client's cognition fluctuates. Which of the following types of dementia should the nurse expect the client to have?

HIV infection

Prion disease

Lewy body disease

Frontotemporal lobar degeneration

Answer and Explanation

The Correct Answer is C

A. HIV infection can cause dementia, but it typically presents with apathy, social withdrawal, and motor dysfunction—not parkinsonian features with fluctuating cognition.
B. Prion disease (such as Creutzfeldt-Jakob disease) presents with rapid progression of dementia, myoclonus, and ataxia, but not typically with parkinsonian features or fluctuating cognition.
C. Lewy body disease is characterized by fluctuating cognition, visual hallucinations, and parkinsonian motor symptoms. These features strongly suggest dementia with Lewy bodies, especially in the context of stroke or neurodegenerative changes.
D. Frontotemporal lobar degeneration primarily affects behavior, personality, and language. Parkinsonian symptoms and fluctuating cognition are not hallmark features.

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Correct Answer is A

Explanation

A. Clients with paranoid personality disorder typically display pervasive distrust and suspiciousness of others. They often believe that others are out to harm, deceive, or exploit them, even without evidence.
B. A lack of remorse is more characteristic of antisocial personality disorder, not paranoid personality disorder.
C. Needing frequent reassurance is commonly seen in dependent personality disorder, not paranoid type.
D. An inflated sense of self is more aligned with narcissistic personality disorder.

A. Acinetobacter baumannii B. Clostridioides difficile C. MRSA D. Vancomycin-resistant Enterococci

Correct Answer is C

Explanation

A. Acinetobacter baumannii is an opportunistic pathogen often associated with hospital-acquired infections, but it is not the most prevalent due to the use of unnecessary antibiotics.
B. Clostridioides difficile (C. diff) infections are largely the result of broad-spectrum antibiotic use, but it is not the most prevalent pathogen overall in the U.S.
C. MRSA (Methicillin-resistant Staphylococcus aureus) is one of the most common and prevalent antibiotic-resistant bacteria in the U.S. It has become more widespread due to overuse and misuse of antibiotics.
D. Vancomycin-resistant Enterococci (VRE) is another significant pathogen related to antibiotic resistance, but it is less prevalent compared to MRSA.

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A nurse is caring for a client who has experienced a stroke and exhibits parkinsonian effects. The client's cognition fluctuates. Which of the following types of dementia should the nurse expect the client to have?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is assessing a client who has paranoid personality disorder. Which of the following findings should the nurse expect?

Correct Answer is A

Explanation

Which pathogen is the result of decades of use of unnecessary antibiotics and the most prevalent in the United States

Correct Answer is C

Explanation

A nurse is caring for a client who has experienced a stroke and exhibits parkinsonian effects. The client's cognition fluctuates. Which of the following types of dementia should the nurse expect the client to have?

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