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.
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Choice A reason: Using extra pillows may help with comfort but is not the basis of the nurse's response to the concern about thoracentesis.
Choice B reason:
The correct answer is b) because during thoracentesis, the client is positioned upright, which helps ease breathing and access the pleural space.
Choice C reason: While the procedure may be brief, this response does not directly address the concern about breathing.
Choice D reason: Orthopnea can be caused by conditions other than anxiety and should be addressed appropriately.
Correct Answer is D
Explanation
Choice A reason: Decreased weeping is not the primary expected therapeutic response of urea cream.
Choice B reason: Reduced pain is beneficial but not the primary expected response.
Choice C reason: Healing with a return to normal skin appearance may occur over time but is not the immediate expected response.
Choice D reason:
The correct answer is d) because urea cream helps hydrate and soften dry skin, which is the primary expected therapeutic response for eczema management.
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