A nurse is providing teaching to a client who has stage 2 Parkinson's disease. Which of the following instructions should the nurse include in the teaching?
"Schedule appointments early in the morning."
"Look down at your feet when walking."
"Thicken liquids to promote swallowing."
"Take a laxative if you experience constipation."
The Correct Answer is C
Choice A rationale:
Scheduling appointments earlier in the day accommodates the client's potential "on" periods when Parkinson's symptoms are better controlled.
Choice B rationale:
Looking down at the feet while walking is a technique that can help improve gait and stability, as Parkinson's disease often affects balance.
Choice C rationale:
Thicker liquids are less likely to cause aspiration in individuals with Parkinson's disease, as they can have difficulty coordinating the muscles needed for swallowing.
Choice D rationale:
Constipation is a common issue in Parkinson's disease due to decreased gastrointestinal motility. However, focusing on dietary fiber and fluid intake is preferred before considering laxatives.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Choice A rationale:
The client is experiencing signs of an allergic reaction or anaphylaxis, which can be life-threatening. The rapid response team should be called to provide immediate medical assistance.
Choice B rationale:
Intubation is not the immediate priority. Addressing the allergic reaction and ensuring the client's airway, breathing, and circulation are the first steps.
Choice C rationale:
Obtaining an arterial blood gas (ABG) level is not the priority when the client is experiencing respiratory distress and facial swelling.
Choice D rationale:
Administering diphenhydramine may be part of the treatment plan, but the immediate priority is to call for emergency assistance to manage the allergic reaction.
Correct Answer is A
Explanation
Choice A rationale:
Melanoma often originates from an existing mole or can develop as a new pigmented lesion on the skin.
Choice B rationale:
Melanoma lesions are typically asymmetrical, not symmetrical.
Choice C rationale:
Metastasis of melanoma is not rare and can occur if the disease is not diagnosed and treated early.
Choice D rationale:
Melanoma has multiple growth phases, including radial and vertical growth.
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