Nokea
An older adult has encouraged her husband to visit their primary care provider, stating that she is concerned that he may have Parkinsons disease. Which of the wifes descriptions of her husbands health and function is most suggestive of Parkinsons disease?
- A. Lately he seems to move far more slowly than he ever has in the past.
- B. He often complains that his joints are terribly stiff when he wakes up in the morning.
- C. Hes forgotten the names of some people that weve known for years.
- D. Hes losing weight even though he has a ravenous appetite.
Correct Answer: A
Rationale: Bradykinesia is a hallmark of Parkinson's disease. Joint stiffness, memory loss, or weight loss with increased appetite are not typical symptoms.
You may also like to solve these questions
The nurse is caring for a patient diagnosed with Parkinsons disease. The patient is having increasing problems with rising from the sitting to the standing position. What should the nurse suggest to the patient to use that will aid in getting from the sitting to the standing position as well as aid in improving bowel elimination?
- A. Use of a bedpan
- B. Use of a raised toilet seat
- C. Sitting quietly on the toilet every 2 hours
- D. Following the outlined bowel program
Correct Answer: B
Rationale: A raised toilet seat aids standing and promotes bowel elimination by improving positioning. Other options do not address both issues effectively.
A male patient presents at the free clinic with complaints of impotency. Upon physical examination, the nurse practitioner notes the presence of hypogonadism. What diagnosis should the nurse suspect?
- A. Prolactinoma
- B. Angioma
- C. Glioma
- D. Adrenocorticotropic hormone (ACTH)-producing adenoma
Correct Answer: A
Rationale: Prolactinoma often causes impotence and hypogonadism in males due to prolactin excess. ACTH-producing adenomas cause different symptoms, and angiomas or gliomas are less likely.
A family member of a patient diagnosed with Huntington disease calls you at the clinic. She is requesting help from the Huntingtons Disease Society of America. What kind of help can this patient and family receive from this organization? Select all that apply.
- A. Information about this disease
- B. Referrals
- C. Public education
- D. Individual assessments
- E. Appraisals of research studies
Correct Answer: A,B,C
Rationale: The Huntington's Disease Society of America provides information, referrals, and public education. It does not offer individual assessments or research appraisals.
A patient with amyotrophic lateral sclerosis (ALS) is being visited by the home health nurse who is creating a care plan. What nursing diagnosis is most likely for a patient with this condition?
- A. Chronic confusion
- B. Impaired urinary elimination
- C. Impaired verbal communication
- D. Bowel incontinence
Correct Answer: C
Rationale: ALS causes progressive speech impairment, making impaired verbal communication a primary concern. Cognitive function, bladder, and bowel control are typically preserved.
A patient has been admitted to the neurologic ICU with a diagnosis of a brain tumor. The patient is scheduled to have a tumor resection/removal in the morning. Which of the following assessment parameters should the nurse include in the initial assessment?
- A. Gag reflex
- B. Deep tendon reflexes
- C. Abdominal girth
- D. Hearing acuity
Correct Answer: A
Rationale: Assessing gag reflex is critical preoperatively to prevent aspiration during surgery. Other assessments are less relevant to immediate surgical risks.