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?

Respiratory therapy

Nutritional therapy

Occupational therapy

Speech therapy .

Answer and Explanation

The Correct Answer is D

Choice A rationale

Respiratory therapy is primarily concerned with the treatment and management of a patient’s breathing. While swallowing difficulties can potentially lead to respiratory issues such as aspiration pneumonia, the primary role of evaluating and treating swallowing difficulties falls outside the scope of respiratory therapy.
Choice B rationale
Nutritional therapy would be involved in managing the dietary needs of a patient with Parkinson’s disease, including modifications to food texture and liquid consistency if swallowing difficulties are present. However, the evaluation and treatment of the swallowing difficulty itself would be managed by a speech therapist.
Choice C rationale
Occupational therapy could assist with adaptations to enhance the patient’s feeding skills and independence during meals. However, the specific evaluation and treatment of swallowing function is typically within the scope of a speech therapist.
Choice D rationale
Speech therapists, or speech-language pathologists, are the professionals specifically trained to evaluate and treat individuals with speech, language, voice, and swallowing disorders. This would include a patient with Parkinson’s disease experiencing difficulty swallowing.

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Correct Answer is D

Explanation

Choice A rationale
Vision loss and depression are not typically symptoms of a mild traumatic brain injury (TBI). Vision loss could be a symptom of a more severe TBI or other neurological conditions.
Depression, while it can occur following a TBI, is not a direct symptom of the injury itself but rather a common psychological reaction to the changes and challenges that a person may face following the injury.
Choice B rationale

Seizures and weakness in the extremities can be symptoms of a TBI, but they are more commonly associated with moderate to severe TBIs. Mild TBIs do not typically cause seizures or weakness in the extremities.
Choice C rationale
Persistent headache can be a symptom of a mild TBI. However, aggressive behavior, while it can occur following a TBI, is not a direct symptom of the injury itself but rather a possible psychological reaction to the changes and challenges that a person may face following the injury.
Choice D rationale
Headache and confusion are common symptoms of a mild TBI. After a mild TBI, individuals may experience a headache or a feeling of pressure in the head. They may also experience confusion or feel as if in a fog.

A. Hyponatremia B. Paresthesia C. Foot drop D. Intermittent pain E. Hyperreflexia

Correct Answer is ["B","C","D"]

Explanation

Choice A rationale
Hyponatremia, or low sodium levels, is not typically a symptom of degenerative disc disease. It can be caused by a variety of conditions, but it is not directly linked to degenerative disc disease.
Choice B rationale
Paresthesia, or abnormal sensations such as tingling or prickling, can develop with degenerative disc disease. This is due to the fact that degenerative changes can lead to nerve compression, which can cause these sensations.
Choice C rationale
Foot drop, a gait abnormality, can be a symptom of degenerative disc disease. It can occur if the disease process affects the nerves that control the muscles involved in lifting the foot.
Choice D rationale
Intermittent pain is a common symptom of degenerative disc disease. The pain can vary in intensity and may be worse with certain activities or positions.
Choice E rationale
Hyperreflexia, or overactive reflexes, is not typically a symptom of degenerative disc disease. It is more commonly associated with conditions that affect the upper motor neurons.

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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?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a client who had a traumatic brain injury (TBI). What symptoms indicate a mild TBI?

Correct Answer is D

Explanation

A nurse is caring for a client who has degenerative disc disease. Which of the following assessment findings should the nurse understand might develop with this condition? (Select All that Apply)

Correct Answer is ["B","C","D"]

Explanation

A nurse is caring for a client who has a traumatic brain injury (TBI). Which of the following secondary conditions should the nurse anticipate the client might develop?

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A nurse is educating a group of high school students about the damage caused by penetrating traumatic brain injuries. Which statement should the nurse include in the teaching?

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?

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