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

“When did you have your last physical?”

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

“What kind of work do you do?”

“How much coffee do you drink every day?”

Answer and Explanation

The Correct Answer is B

Choice A Reason:

Asking about the last physical exam is important for understanding the client’s overall health history, but it is not the most critical question for assessing the risk factors specific to Parkinson’s disease.

Choice B Reason:

This is the correct answer. Family history is a significant risk factor for Parkinson’s disease. Genetic factors can play a role in the development of the disease, and knowing if any family members have Parkinson’s can help in understanding the client’s risk and planning appropriate care.

Choice C Reason:

While occupational history can provide insights into potential environmental exposures that might contribute to Parkinson’s disease, it is not as directly relevant as family history in assessing the risk of developing the disease.

Choice D Reason:

The amount of coffee consumed daily is not directly related to the risk of developing Parkinson’s disease. Some studies suggest that caffeine might have a protective effect, but this is not a primary factor in assessing the disease.

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Correct Answer is C

Explanation

Choice A Reason:

Removing the protective gown before removing gloves is incorrect. The correct procedure is to remove gloves first, followed by the gown, to prevent contamination from the gown to the hands.

Choice B Reason:

Using an electronic thermometer is not recommended for clients with Clostridium difficile. Disposable thermometers or dedicated equipment should be used to prevent cross-contamination.

Choice C Reason:

This is the correct answer. The protective gown should be removed before leaving the client’s room to prevent the spread of Clostridium difficile spores to other areas of the healthcare facility. Proper removal and disposal of PPE are crucial in infection control.

Choice D Reason:

Shaking bed linens is incorrect as it can aerosolize Clostridium difficile spores, increasing the risk of spreading the infection. Linens should be carefully handled and placed in a linen bag without shaking.

A. “Avoid consuming undercooked foods.” B. “Avoid using hormone replacement therapy as this can increase your risk for a peptic ulcer.” C. “Avoid foods that have been fried.” D. “Avoid using decongestants for seasonal allergies/colds due to their positive link to developing a peptic ulcer.”

Correct Answer is C

Explanation

Choice A Reason:

Avoiding undercooked foods is generally good advice for preventing foodborne illnesses, but it is not specifically related to reducing the risk of peptic ulcers. Peptic ulcers are primarily caused by Helicobacter pylori infection and the use of nonsteroidal anti-inflammatory drugs (NSAIDs).

Choice B Reason:

There is no established link between hormone replacement therapy and an increased risk of peptic ulcers. The primary risk factors for peptic ulcers include H. pylori infection, NSAID use, smoking, and excessive alcohol consumption.

Choice C Reason:

This is the correct answer. Fried foods can irritate the stomach lining and increase the production of stomach acid, which can exacerbate the symptoms of peptic ulcers and potentially contribute to their development. Avoiding fried foods can help reduce irritation and promote healing.

Choice D Reason:

There is no evidence to suggest that decongestants for seasonal allergies or colds are linked to the development of peptic ulcers. The main contributors to peptic ulcers are H. pylori infection and NSAID use.

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

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a client who has a new diagnosis of Clostridium difficile and is placed on contact precautions. Which of the following actions should the nurse take?

Correct Answer is C

Explanation

A nurse is caring for a client who states their parent died from complications of a GI bleed. Which of the following statements from the nurse will help the client decrease their risk of developing a peptic ulcer?

Correct Answer is C

Explanation

An older adult client returned to the nursing home after a lower limb amputation. The client is scheduled for a prosthesis fitting and states, “I am too old to learn how to manage this.” Which of the following responses from the nurse is appropriate?

A nurse is reviewing the electronic medical record of a middle-aged client who was admitted following a stroke. Which of the following findings should the nurse identify as a modifiable risk factor for stroke?

A nurse is providing care to a client who has Parkinson’s disease and is having difficulty swallowing. Which of the following departments should the nurse plan to contact for a consultation?

A nurse is preparing discharge instructions for a client who has been treated for acute pancreatitis. Which of the following statements is important to include in the information?

A nurse is caring for a client admitted with meningitis. The student nurse asks, “I know that the client has a lot of edema in the brain, but what causes it?” Which of the following responses from the nurse best answers the student’s question?

A nurse is teaching a newly licensed nurse about the function of the large intestine. Which of the following information should the nurse include?

A nurse is providing discharge instructions to a client who has a peptic ulcer. Which of the following information should the nurse include in the teaching?