Nokea
The client diagnosed with Parkinson’s disease is being discharged. Which statement made by the significant other indicates an understanding of the discharge instructions?
- A. All of my spouse’s emotions will slow down now just like his body movements.'
- B. My spouse may experience hallucinations until the medication starts working.'
- C. I will schedule appointments late in the morning after his morning bath.'
- D. It is fine if we don’t follow a strict medication schedule on weekends.'
Correct Answer: C
Rationale: Scheduling appointments late in the morning (C) accommodates Parkinson’s patients’ morning stiffness and medication timing, indicating understanding. Emotional slowing (A) is incorrect, hallucinations (B) are a side effect not limited to initiation, and strict medication schedules (D) are critical.
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Which discharge instruction is most important for a client with a herniated disk?
- A. Sleep on a soft mattress.
- B. Perform high-impact exercises.
- C. Maintain proper body mechanics.
- D. Take hot baths daily.
Correct Answer: C
Rationale: Proper body mechanics prevent re-injury and promote healing in clients with a herniated disk.
Which client should the nurse assess first after receiving the shift report?
- A. The client diagnosed with a stroke who has right-sided paralysis.
- B. The client diagnosed with meningitis who complains of photosensitivity.
- C. The client with a brain tumor who has projectile vomiting.
- D. The client with epilepsy who complains of tender gums.
Correct Answer: C
Rationale: Projectile vomiting (C) in a brain tumor suggests increased ICP, a life-threatening condition requiring immediate assessment. Paralysis (A), photosensitivity (B), and tender gums (D) are less urgent.
Which assessment finding is most important to consider before developing the client's care plan?
- A. The client's ability to perform activities of daily living
- B. The client's preferences for and dislikes of various foods
- C. The family members' views about nursing home placement
- D. The client's feelings about giving up independent living
Correct Answer: A
Rationale: The ability to perform ADLs determines the level of assistance needed, guiding the care plan for a client with Parkinson's disease.
The nurse is working with clients and their families regarding substance abuse. Which statement is the scientific rationale for teaching the children new coping mechanisms?
- A. The child needs to realize that the parent will be changing behaviors.
- B. The child will need to point out to the parent when the parent is not coping.
- C. Children tend to mimic behaviors of parents when faced with similar situations.
- D. Children need to feel like they are a part of the parent’s recovery.
Correct Answer: C
Rationale: Children often mimic parental behaviors (C), including unhealthy coping mechanisms. Teaching new strategies helps break this cycle. Other options misrepresent the child’s role or focus.
The client is diagnosed with ALS. As the disease progresses, which intervention should the nurse implement?
- A. Discuss the need to be placed in a long-term care facility.
- B. Explain how to care for a sigmoid colostomy.
- C. Assist the client to prepare an advance directive.
- D. Teach the client how to use a motorized wheelchair.
Correct Answer: C
Rationale: ALS progression leads to significant disability, making advance directives (C) critical to ensure the client’s wishes are respected. Long-term care (A) is premature, colostomy (B) is unrelated, and wheelchair use (D) is secondary.