The nurse observes that a client with Parkinson’s disease (PD) has a mask-like face. Which follow-up assessment is most important for the nurse to implement?

Note the frequency of drooling.

Observe the appearance of oral mucosa.

Assess patterns of speech.

Determine the ability to chew and swallow.

Answer and Explanation

The Correct Answer is D

Choice A reason: While noting the frequency of drooling is important, it is not the most critical assessment.
Choice B reason: Observing the appearance of oral mucosa is less critical than assessing the ability to swallow.
Choice C reason: Assessing speech patterns is important but secondary to swallowing ability in terms of immediate safety.
Choice D reason: This is the correct choice. The ability to chew and swallow is crucial for preventing aspiration and maintaining nutrition.

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Correct Answer is A

Explanation

Choice A reason: Palliative care is often beneficial for children with serious illnesses such as leukemia, where the focus is on improving quality of life and providing relief from the symptoms and stress of the illness.

Choice B reason: While a broken arm is painful, it is typically not a condition that requires palliative care, as it does not usually involve a life-threatening or chronic illness.

Choice C reason: Recurrent asthma exacerbations can be serious, but palliative care is generally reserved for more severe chronic conditions that are not well-controlled.

Choice D reason: Third-degree burns are severe and require specialized care, but palliative care is most beneficial for conditions that are chronic and life-limiting, which may not be the case with localized burn injuries.

A. Fasciitis B. Compartment syndrome C. Osteochondrosis D. Osteomyelitis

Correct Answer is B

Explanation

Choice A reason: Fasciitis, inflammation of the fascia, could cause pain and possibly edema, but it typically does not cause fever.

Choice B reason: Compartment syndrome is a serious condition where increased pressure within the muscles can lead to muscle and nerve damage as well as problems with blood flow. Pain, edema, and fever could be signs of this condition, especially in a limb that is in traction.

Choice C reason: Osteochondrosis refers to a group of disorders that affect the growth of bones in children and adolescents. While it can cause pain, it does not typically cause edema or fever.

Choice D reason: Osteomyelitis, an infection in the bone, could cause pain, edema, and fever. However, the acute onset of symptoms in a limb under traction is more indicative of compartment syndrome. Osteomyelitis typically has a more gradual onset.

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The nurse observes that a client with Parkinson’s disease (PD) has a mask-like face. Which follow-up assessment is most important for the nurse to implement?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Which client in the pediatric intensive care unit (PICU) would most benefit from palliative care?

Correct Answer is A

Explanation

Which condition should the nurse suspect in a 6-year-old patient in external traction for a femur fracture who has pain and edema of the thigh and is febrile?

Correct Answer is B

Explanation

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