The nurse is educating a client about Parkinson’s disease. Which of the following statements would require further teaching?

I should eat soft foods such as applesauce and yogurt if I have trouble swallowing

I could drink prune juice if I develop constipation

Carbidopa-levodopa will help with my symptoms

It results from the lack of acetylcholine

Answer and Explanation

The Correct Answer is D

Choice A reason: Soft foods like applesauce aid swallowing in Parkinson’s dysphagia, reducing aspiration risk from rigidity, a correct self-management strategy.

Choice B reason: Prune juice relieves constipation, common in Parkinson’s from slowed gut motility due to dopamine loss, so this is an accurate statement.

Choice C reason: Carbidopa-levodopa boosts dopamine, easing Parkinson’s motor symptoms (tremors, rigidity), a standard treatment, making this statement correct.

Choice D reason: Parkinson’s stems from dopamine deficiency, not acetylcholine; excess acetylcholine worsens symptoms, so this is incorrect and needs teaching.

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Correct Answer is B

Explanation

Choice A reason: Fever of 103°F may occur in thyroid storm, not goiter, which is simply thyroid enlargement without systemic hypermetabolism or infection necessarily.

Choice B reason: Goiter is defined by thyroid gland enlargement, often from iodine deficiency or hyperplasia, palpable as a neck mass, the core characteristic here.

Choice C reason: Fibrotic tissue in arterioles relates to vascular diseases, not goiter, which involves thyroid tissue growth, not arterial structural changes.

Choice D reason: Glycosaminoglycan deposits occur in myxedema (hypothyroidism), not goiter, which is enlargement alone, not skin or connective tissue alteration.

A. Dressing in the morning B. Writing letters C. Combing hair D. Eating meals

Correct Answer is B

Explanation

Choice A reason: Dressing involves both sides but can be adapted with the left hand; right-sided CVA impairs left-side function, less affecting dominant right-hand tasks.

Choice B reason: Writing, a fine motor skill, relies on the dominant right hand, controlled by the left brain; right-sided CVA disrupts this, making it most difficult.

Choice C reason: Combing hair uses gross motor skills, manageable with the left hand despite right-sided CVA’s left-sided weakness, less challenging than writing.

Choice D reason: Eating uses the right hand but can be adjusted with utensils or left-hand assistance; it’s less precise than writing, so less impacted.

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The nurse is educating a client about Parkinson’s disease. Which of the following statements would require further teaching?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A goiter is characterized by which of the following?

Correct Answer is B

Explanation

A client is admitted to the hospital with the diagnosis of a right-sided brain attack (CVA). The client is right-handed. Which task will be most difficult for this client?

Correct Answer is B

Explanation

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A nurse is teaching about levothyroxine with a client who has primary hypothyroidism. Which of the following statements should the nurse use when teaching the client?