The spouse of a client diagnosed with Parkinson's disease calls the clinic and tells the nurse the client is having involuntary jerky movements of the legs and arms and is confused. Which action should the clinic nurse implement first?

Request that the client's spouse bring the client to the clinic as soon as possible.

Advise the client's spouse to call an ambulance to take the client to the emergency room.

Ask the client's spouse to list all medications the client is currently taking.

Determine how long the client has been diagnosed with Parkinson's disease.

Answer and Explanation

The Correct Answer is B

Choice A reason: Bringing the client to the clinic is not sufficient for urgent care needs such as confusion and involuntary movements.

Choice B reason: Calling an ambulance ensures the client receives immediate medical attention for potentially severe symptoms.

Choice C reason: Listing all medications is important but not the first priority in an urgent situation.

Choice D reason: Determining how long the client has been diagnosed with Parkinson's disease is relevant background information but not the immediate action needed for the current symptoms.

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Correct Answer is ["A","C","D"]

Explanation

Choice A reason: Decreased appetite is a common symptom of hypothyroidism. The reduced metabolic rate associated with low thyroid hormone levels can lead to a lack of hunger and reduced food intake, contributing to weight gain despite a lower calorie intake.

Choice B reason: Restlessness is not a typical symptom of hypothyroidism. In fact, hypothyroidism often causes fatigue, lethargy, and a general slowing down of mental and physical processes rather than restlessness or hyperactivity.

Choice C reason: Intolerance to cold is a hallmark symptom of hypothyroidism. The decreased metabolic rate results in reduced heat production, making individuals more sensitive to cold temperatures and often leading them to feel cold even in warm environments.

Choice D reason: Constipation is a common symptom of hypothyroidism. The slowed metabolism affects the gastrointestinal system, reducing the movement of the intestines and leading to infrequent and difficult bowel movements.

A. Monitor for electrolyte imbalance. B. Assess for secondary Candida infection. C. Give sucralfate on an empty stomach. D. Administer sucralfate once a day, preferably at bedtime.

Correct Answer is C

Explanation

Choice A reason: While monitoring for electrolyte imbalance is essential in many scenarios, it is not a primary action specific to administering sucralfate.

Choice B reason: Assessing for secondary Candida infection is not directly related to the administration of sucralfate. This medication is used for its protective effects on the stomach lining.

Choice C reason: Sucralfate should be given on an empty stomach for optimal effectiveness. It forms a protective barrier on the ulcer site and works best when it can directly adhere to the stomach lining without interference from food or other medications.

Choice D reason: Sucralfate is typically administered multiple times a day, not just once a day. Therefore, giving it once a day at bedtime does not follow the standard dosing regimen for this medication.

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The spouse of a client diagnosed with Parkinson's disease calls the clinic and tells the nurse the client is having involuntary jerky movements of the legs and arms and is confused. Which action should the clinic nurse implement first?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

What are the signs and symptoms of hypothyroidism?

Correct Answer is ["A","C","D"]

Explanation

The nurse is planning to administer sucralfate to a client with peptic ulcer disease. Which action should the nurse include in this client's plan of care?

Correct Answer is C

Explanation

Six days after starting a prescription for oral amoxicillin solution, a client calls the clinic to report the onset of a low-grade fever. Which action should the nurse implement?

The spouse of a client diagnosed with Parkinson's disease calls the clinic and tells the nurse the client is having involuntary jerky movements of the legs and arms and is confused. Which action should the clinic nurse implement first?

The healthcare provider prescribes the antibiotic tetracycline HCI for an adult client that arrived at an outpatient clinic. Which instruction should the nurse include in the teaching plan for this client?

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A client with irritable bowel syndrome starts a new prescription for dicyclomine, an anticholinergic medication. The client reports the onset of sensitivity to bright sunlight and a dry mouth. How should the nurse respond?

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When the nurse discontinues a 24-hour postoperative client's patient-controlled analgesia (PCA) pump, the client asks to go to the hospital's smoking area to smoke a cigarette. Which response should the nurse provide?