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A nurse is caring for a client who has Parkinson's disease and is starting to display bradykinesia. Which of the following is an appropriate action by the nurse?
- A. Place the client on a low-protein, low-calorie diet
- B. Teach the client to walk more quickly when ambulating
- C. Complete passive range-of-motion exercises daily
- D. Give the patient extra time to perform activities
Correct Answer: D
Rationale: The correct answer is D: Give the patient extra time to perform activities. Bradykinesia is a common symptom of Parkinson's disease characterized by slow movement. By giving the patient extra time to perform activities, the nurse can accommodate the decreased speed of movement associated with bradykinesia, promoting independence and preventing frustration. Placing the client on a low-protein, low-calorie diet (A) is not relevant to addressing bradykinesia. Teaching the client to walk more quickly (B) may not be feasible due to the physical limitations caused by the condition. Completing passive range-of-motion exercises daily (C) may be beneficial for maintaining mobility but does not directly address bradykinesia. Giving the patient extra time to perform activities (D) is the most appropriate action as it supports the client's autonomy and helps manage the symptom effectively.
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A nurse is working with a community at risk for flooding. The nurse is aware that identification of at-risk populations, education of the residents about evacuation routes, and emergency shelters is an example of what level of the National Response Framework?
- A. Security phase
- B. Mitigation phase
- C. Response phase
- D. Practice phase
Correct Answer: B
Rationale: The correct answer is B: Mitigation phase. In the National Response Framework, the mitigation phase focuses on actions taken to prevent or minimize the impact of a disaster. By identifying at-risk populations, educating residents about evacuation routes, and providing information on emergency shelters, the nurse is proactively working to reduce the potential negative effects of flooding. This aligns with the goals of the mitigation phase, which aims to reduce vulnerability and enhance resilience. The other choices are incorrect because they do not specifically address the proactive measures taken to prevent or minimize the impact of a disaster, as seen in the mitigation phase.
The nurse is preparing for an initial home care visit for a client with diabetes. Which action by the nurse is appropriate? SELECT ALL THAT APPLY
- A. Going automatically into the client's bedroom
- B. Thanking the client for arranging a home visit
- C. Arranging mutual future visits
- D. Asking how they are managing at home
- E. Sitting down and discussing with the client and family members
Correct Answer: C,D,E
Rationale: The correct actions (C, D, E) are appropriate for the initial home care visit for a client with diabetes. C is correct because arranging mutual future visits establishes continuity of care. D is correct since asking about home management helps assess the client's self-care abilities. E is essential as it promotes open communication and involvement of the client and family in the care plan. A is incorrect as entering the client's bedroom without permission violates privacy. B is incorrect as it is general politeness and not specific to diabetes care.
The nurse is caring for a client with multiple sclerosis. What action does the nurse implement to increase venous return, prevent stiffness, and maintain muscle strength and endurance?
- A. Encourage the client to use ice therapy to alleviate muscle stiffness
- B. Administer interferon
- C. Administer corticosteroids
- D. Encourage the client to perform gentle stretching exercises daily
Correct Answer: D
Rationale: The correct answer is D: Encourage the client to perform gentle stretching exercises daily. Stretching exercises help increase venous return by improving circulation, prevent stiffness by maintaining joint flexibility, and maintain muscle strength and endurance by promoting muscle health. Ice therapy (choice A) may temporarily alleviate stiffness but does not address venous return or muscle strength. Administering interferon (choice B) and corticosteroids (choice C) are medications used for managing symptoms but do not directly address the goals of increasing venous return or maintaining muscle strength.
A nurse educator is teaching a group of students about the role of nurses in health promotion. The educator recognizes that the nurse who works in health promotion and safety for an automotive plant is functioning in what role?
- A. Nurse clinician
- B. Public health nurse
- C. Community nurse specialist
- D. Occupational health nurse
Correct Answer: D
Rationale: The correct answer is D: Occupational health nurse. An occupational health nurse specializes in promoting health and safety in the workplace, such as in an automotive plant. This role involves assessing workplace hazards, developing safety protocols, and educating employees on injury prevention. The other choices are incorrect because: A) Nurse clinician focuses on direct patient care, B) Public health nurse focuses on community health outside of the workplace, C) Community nurse specialist focuses on a specific community's health needs. Therefore, the occupational health nurse best fits the scenario described.
A nurse is teaching a client who has a new prescription for Sumatriptan (Imitrex) tablets to treat migraine headaches. Which of the following instructions should the nurse include?
- A. Chew tablet well before swallowing
- B. If you experience chest pain, call your physician immediately
- C. Take daily to prevent headaches
- D. Repeat dose in 1 hour for unrelieved headache
Correct Answer: B
Rationale: The correct answer is B: If you experience chest pain, call your physician immediately. This is crucial because Sumatriptan can sometimes cause chest pain or tightness as a side effect, which could indicate a serious issue like a heart problem. Instructing the client to contact their physician immediately ensures prompt medical attention if such symptoms occur, potentially preventing a serious complication. Choices A, C, and D are incorrect. A: Chewing Sumatriptan tablets is not recommended as it may alter the drug's absorption rate. C: Sumatriptan is not meant to be taken daily for headache prevention; it is used for acute migraine attacks. D: Repeating the dose in 1 hour is not advised as it can increase the risk of side effects and medication overuse headaches.