The nurse is providing care for an 82-year-old man whose signs and symptoms of Parkinson’s disease have worsened over the past several months.
The man states that he can no longer do as many things for himself as he used to be able to. What factor should the nurse recognize as impacting the client’s life most significantly?

Tremors and decreased mobility

Loss of independence

Age-related changes

Neurologic deficits

Answer and Explanation

The Correct Answer is B

Choice A rationale
While tremors and decreased mobility are common symptoms of Parkinson’s disease, they are not the most significant impact on a patient’s life. These physical symptoms can be managed with medication and physical therapy.
Choice B rationale
Loss of independence is often the most significant impact on a patient’s life. As the disease progresses, patients may find it increasingly difficult to perform daily activities and may require assistance.

Choice C rationale
Age-related changes can contribute to the progression of Parkinson’s disease, but they are not the most significant impact on a patient’s life. The disease itself, rather than aging, is the primary cause of the symptoms.
Choice D rationale
Neurologic deficits are a result of Parkinson’s disease, but they are not the most significant impact on a patient’s life. The loss of independence that results from these deficits is often more impactful.

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Free Nursing Study Resources

Correct Answer is ["56"]

Explanation

Step 1 is to calculate the total drops per hour. This is done by multiplying the total volume of the solution by the drop factor and then dividing by the total time in minutes. So, (1000 mL × 10 gtt/mL) ÷ 180 min = 55.56 gtt/min. The final calculated answer is approximately 56 gtt/min when rounded to the nearest whole number.

A. Assessing the patient’s ability to follow complex commands B. Assessing the patient’s judgment C. Assessing the patient’s verbal response D. Assessing the patient’s response to pain

Correct Answer is D

Explanation

Choice D rationale
When assessing a patient with an altered level of consciousness, the nurse’s initial action should be to assess the patient’s response to pain. This is a fundamental part of the neurological examination and can provide valuable information about the patient’s level of consciousness and neurological function. Pain response can be assessed by applying a painful stimulus, such as a pinch, and observing the patient’s reaction.
Choice A rationale
Assessing the patient’s ability to follow complex commands is an important part of the neurological examination, but it is not typically the initial action when assessing a patient with an altered level of consciousness. This assessment requires a higher level of cognitive function and may not be possible in a patient with significantly altered consciousness.
Choice B rationale
Assessing the patient’s judgment is an important part of the mental status examination, but it is not typically the initial action when assessing a patient with an altered level of consciousness. Like the ability to follow complex commands, judgment requires a higher level of cognitive function and may not be assessable in a patient with significantly altered consciousness.

Choice C rationale
Assessing the patient’s verbal response is an important part of the neurological examination, but it is not typically the initial action when assessing a patient with an altered level of consciousness. The patient’s ability to speak and the content of their speech can provide important information about their neurological function, but this assessment may not be possible in a patient with significantly altered consciousness.

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Naxlex Comprehensive Predictor Exams

A patient with hypotension has an order for 1000 mL of 0.9% Normal Saline over 3 hours. The tubing drop factor is 10 gtt/mL. How many gtt/min should be given? (This is a med math nd does not require options)

Correct Answer is ["56"]

Explanation

The nurse is caring for a patient whose recent health history includes an altered level of consciousness. What should be the nurse’s initial action when assessing this patient?

Correct Answer is D

Explanation

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