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?

Determine the ability to chew and swallow.

Assess patterns of speech.

Note the frequency of drooling.

Observe the appearance of oral mucosa.

Answer and Explanation

The Correct Answer is A

Choice A reason:

The correct answer is a) because a mask-like face in Parkinson's disease can affect the ability to chew and swallow, increasing the risk of aspiration and nutritional deficiencies.

Choice B reason: Assessing speech patterns is important but secondary to ensuring the client can chew and swallow safely.

Choice C reason: Noting the frequency of drooling can indicate difficulties with swallowing, but determining the ability to chew and swallow is more critical.

Choice D reason: Observing the appearance of the oral mucosa is important for overall oral health but does not address the immediate risk of aspiration and nutritional concerns.

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Correct Answer is D

Explanation

Choice A reason: Bringing foods from home may encourage eating but does not address the underlying issue of visual perception.

Choice B reason: Reassuring about weight loss recovery is not helpful in the immediate context of improving meal intake.

Choice C reason: Encouraging the family to feed the client may help but does not promote independence.

Choice D reason:

The correct answer is d) because teaching visual scanning techniques can help the client compensate for visual perception difficulties and increase food intake.

A. Washes the radiation site with antibacterial soap and water. B. Dries the area with patting motions after taking a shower. C. Applies prescribed lotions to the radiation site. D. Wears clothing to cover the radiation site.

Correct Answer is A

Explanation

Choice A reason:

The correct answer is a) because using antibacterial soap can be too harsh and irritating for the skin that is undergoing radiation treatment. Gentle cleansing with mild soap is recommended to avoid skin irritation.

Choice B reason: Drying the area with patting motions is appropriate as it helps prevent further irritation to the sensitive skin.

Choice C reason: Applying prescribed lotions is recommended to keep the skin moisturized and help with any radiation-induced dryness or irritation.

Choice D reason: Wearing clothing to cover the radiation site can protect the area from sun exposure and further irritation, which is appropriate care for the skin.

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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

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Explanation

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Correct Answer is A

Explanation

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