The nurse is receiving morning report on several clients with mobility concerns. Which client is the priority for the nurse to assess?
The client with Parkinson's Disease who needs to use the bathroom.
The client with osteoporosis who refuses to take their bisphosphonate.
The client with a hip fracture who is 3 days post-operative.
The older adult client who was ambulating around the unit.
The Correct Answer is A
A. A client with Parkinson’s disease who urgently needs to use the bathroom is at high risk for falls due to rigidity, tremors, and shuffling gait. Needing to move quickly to the bathroom further increases the risk of injury, making this the priority for immediate assessment and assistance.
B. Refusing bisphosphonate therapy for osteoporosis is important to address but does not present an immediate safety risk requiring urgent assessment.
C. A client who is 3 days post–hip fracture surgery requires ongoing monitoring, but this is expected care and not an immediate fall or injury risk compared with the Parkinson’s client.
D. An older adult ambulating may need monitoring for safety, but unless new symptoms arise, this does not pose the same level of urgency as the Parkinson’s client who needs urgent toileting.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. Sudden onset of periocular pain and loss of central vision may indicate acute angle-closure glaucoma, retinal detachment, or central retinal artery occlusion, all of which are ophthalmic emergencies that can result in permanent vision loss if not treated immediately. This client requires priority assessment.
B. Gradual peripheral vision loss over a year suggests chronic conditions such as glaucoma, which require assessment but are not immediately vision-threatening.
C. Temporary reduced vision after sun exposure is likely photokeratitis and is usually self-limiting; urgent assessment is not required.
D. Transient reduced vision when moving from dark to bright light is a normal physiologic response (adaptation to light) and is not an emergency.
Correct Answer is D
Explanation
A. Geographical influences, such as where a person lives or distance from family, may affect access to support systems and resources but do not primarily determine how grief is expressed.
B. Socioeconomic influences affect the availability of coping resources (such as counseling, funeral arrangements, or support services), but they do not directly shape how emotions related to grief are outwardly expressed.
C. The cause of death can affect the intensity or complexity of grief (sudden vs. expected death, violent vs. natural causes) but does not usually dictate the manner of grief expression.
D. Cultural influences are the most significant factor in how grief is expressed. Culture shapes beliefs about death, mourning rituals, communication of loss, and whether emotions are openly displayed or kept private. Understanding cultural practices allows nurses to provide compassionate and sensitive care.
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