The daughter of an older woman who has Parkinson's disease, calls the clinic and reports that her mother has been confused for the past week. Which action(s) should the nurse take? (Select all that apply.)
Determine if the mother has recently experienced a fall.
Review the client's current food and medication allergies.
Encourage increased intake of high protein foods.
Instruct the daughter to check her mother's temperature.
Ask if the mother is experiencing any pain with
Correct Answer : A,B,D,E
A. Confusion can be a sign of a concussion or other injury resulting from a fall, which is a common risk for individuals with Parkinson's disease.
B. Reviewing the client's current food and medication allergies is important as allergies can contribute to confusion if the client is exposed to an allergen.
C. Encouraging increased intake of high protein foods is generally recommended for individuals with Parkinson's disease, but it is not directly related to the acute onset of confusion.
D. Checking the mother's temperature is a direct action to assess for infection, which can be a cause of acute confusion, especially in older adults.
E. Pain with urination could indicate a urinary tract infection, which is another common cause of confusion in the elderly. It is important to assess for this possibility.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. Influenza is a respiratory virus that is primarily spread through droplets. Wearing a face mask is essential to prevent the spread of the virus, especially in close contact situations.
B. While a fitted respirator mask is beneficial in certain situations, it is not typically required for standard influenza precautions unless the client has a known or suspected case of a highly
infectious disease like tuberculosis.
C. Assigning the UAP to another client and assuming full care of the client with influenza is not necessary and could disrupt the workflow and care of other clients.
D. Notifying the nurse of any changes in the client's respiratory status is important, but it does not address the immediate concern of preventing the spread of influenza.
Correct Answer is C
Explanation
A. A 16-year-old client diagnosed with major depression who refuses to participate in group:
While refusal to participate may warrant assessment and intervention, it does not indicate immediate danger or escalation.
B. A 17-year-old client diagnosed with bipolar disorder who is pacing around the lobby: Pacing behavior may indicate anxiety or agitation, but it does not necessarily require immediate attention unless there are signs of escalating behavior or safety concerns.
C. An 18-year-old client with antisocial behavior who is being yelled at by other clients: Correct! The client with antisocial behavior being yelled at by other clients indicates a potential conflict or safety issue that requires immediate intervention to prevent escalation or harm to the client or others.
D. A 14-year-old client with anorexia nervosa who is refusing to eat the evening snack: Refusal to eat is concerning in a client with anorexia nervosa, but it does not pose an immediate threat to safety compared to the situation involving potential conflict or aggression.
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