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: 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.
Correct Answer is C
Explanation
Choice A reason: Demonstrating accurate eye care is important but is not a measurable outcome for managing diabetes.
Choice B reason: Managing blood pressure is important but not the primary goal in the context of newly diagnosed diabetes.
Choice C reason:
The correct answer is c) because achieving a hemoglobin A1C of less than 7% in 3 months is a measurable and relevant outcome for managing type 2 diabetes. It indicates good glycemic control and helps prevent complications.
Choice D reason: Encouraging physical activity is beneficial but is not a specific measurable outcome for diabetes management.
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