The client's family complains of several gradually presenting signs and symptoms. The nurse suspects Parkinson's disease based on what signs and symptoms? (Select all that apply)

Cullen's sign

Bradykinesia

Pill rolling

Unilateral tremors

Swan neck deformity

Answer and Explanation

Correct Answer : B,C,D

Choice A reason: Cullen's sign is a physical finding of bruising around the umbilicus, often associated with intra-abdominal bleeding or pancreatitis. It is not related to Parkinson's disease.

Choice B reason: Bradykinesia, or slowed movement, is a hallmark symptom of Parkinson's disease. It affects the ability to initiate and control movements.

Choice C reason: Pill rolling is a characteristic hand tremor seen in Parkinson's disease. It involves a rhythmic movement of the fingers as if rolling a small object between them.

Choice D reason: Unilateral tremors, or tremors occurring on one side of the body, are often one of the early signs of Parkinson's disease. The tremors typically start on one side and may progress to affect both sides.

Choice E reason: Swan neck deformity is a feature of rheumatoid arthritis, involving deformity of the fingers. It is not associated with Parkinson's disease.

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Correct Answer is A

Explanation

Choice A reason: Brain natriuretic peptide (BNP) levels are elevated in heart failure. BNP is released by the ventricles in response to increased pressure and volume overload. Monitoring BNP levels helps assess the severity of heart failure and the effectiveness of treatment.

Choice B reason: Creatinine levels are used to assess kidney function but are not specific to heart failure. Elevated creatinine levels can indicate impaired kidney function but do not provide specific information about heart failure.

Choice C reason: Blood urea nitrogen (BUN) levels are used to assess kidney function and are not specific to heart failure. Elevated BUN levels can indicate impaired kidney function but do not provide specific information about heart failure.

Choice D reason: Hemoglobin levels indicate the oxygen-carrying capacity of the blood and are used to assess anemia but are not specific to heart failure.

A. The nurse waits 5 minutes between administering prescribed eye drops. B. The nurse leaves the eye shield in place while the client sleeps. C. The nurse is instructing the client not to drive at night. D. The nurse encourages the client to exercise with 20 lb weights 1 day post-operatively.

Correct Answer is D

Explanation

Choice A reason: The nurse waiting 5 minutes between administering prescribed eye drops is a standard practice to allow each drop to be properly absorbed and avoid dilution of the medication. This intervention does not require any action from the charge nurse.

Choice B reason: Leaving the eye shield in place while the client sleeps helps protect the eye from potential injury or infection after surgery. This is a recommended practice and does not need intervention from the charge nurse.

Choice C reason: Instructing the client not to drive at night is a reasonable precautionary measure given the client's recent eye surgery and potential vision changes. This instruction does not warrant intervention from the charge nurse.

Choice D reason: Encouraging the client to exercise with 20 lb weights one day post-operatively is inappropriate and requires the charge nurse to intervene. Strenuous activity can increase intraocular pressure and compromise the healing process after cataract surgery. The client should avoid heavy lifting and follow the post-operative care instructions provided by the healthcare team.

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The client's family complains of several gradually presenting signs and symptoms. The nurse suspects Parkinson's disease based on what signs and symptoms? (Select all that apply)

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A client seen in the clinic with shortness of breath and fatigue is being evaluated for a possible diagnosis of heart failure. Which laboratory result will be the most useful to monitor?

Correct Answer is A

Explanation

The charge nurse observes a nurse performing interventions for a client who has just arrived in the post-anesthesia care unit following right cataract removal and intraocular lens implantation. Which intervention would require the charge nurse to intervene?

Correct Answer is D

Explanation

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