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?

Choice A reason:

The correct answer is a) because increasing the intake of insoluble fiber can help prevent constipation and reduce the risk of diverticulitis by promoting regular bowel movements.

Choice B reason: Augmenting intake of dairy products is not specific to managing diverticulosis.

Choice C reason: Eliminating caffeine and chocolate is not necessary unless these foods cause symptoms.

Choice D reason: While reducing high-fat foods is good dietary advice, it is not specific to diverticulosis management.

An older adult client with a long history of chronic obstructive pulmonary disease (COPD) is admitted with progressive shortness of breath and a persistent cough. The client is anxious and reports a dry mouth. Which intervention should the nurse implement?

a) Encourage the client to drink water.

b) Administer a prescribed sedative.

c) Apply a high-flow Venturi mask.

d) Assist the client to an upright position.

The correct answer is: d) Assist the client to an upright position.

Choice A reason: Encouraging the client to drink water is beneficial but does not address the immediate need to ease breathing.

Choice B reason: Administering a sedative may help with anxiety but does not directly address the respiratory issue.

Choice C reason: Applying a high-flow Venturi mask may be necessary if oxygen saturation is low, but the first step should be to position the client for optimal breathing.

Choice D reason:

The correct answer is d) because assisting the client to an upright position can help ease breathing by allowing for better lung expansion.

Choice A reason: Teaching the client to use pursed lip breathing is helpful for managing breathing difficulties, but it is not the first action to address exercise-induced bronchoconstriction.

Choice B reason:

The correct answer is b) because determining if the client is using an inhaler before exercising is crucial to prevent bronchoconstriction and manage asthma symptoms effectively.

Choice C reason: Assessing for signs and symptoms of upper airway infection is important but is not directly related to exercise-induced bronchoconstriction.

Choice D reason: Reviewing the client's routine asthma management prescriptions is important but should come after addressing the immediate concern of exercise-induced symptoms.