Nokea
What is the nurse's best response to a client with Parkinson's experiencing dyskinesia?
- A. Increase medication dose.
- B. Teach relaxation techniques.
- C. Restrict all activity.
- D. Ignore the symptoms.
Correct Answer: B
Rationale: Teaching relaxation techniques can help manage dyskinesia, a side effect of Parkinson's medications.
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A client is being monitored for transient ischemic attacks. She is oriented, can open her eyes spontaneously, and follows commands. What is her Glasgow Coma Scale score?
Correct Answer: 15
Rationale: The Glasgow Coma Scale assesses eye opening (4 for spontaneous), verbal response (5 for oriented), and motor response (6 for following commands). The client's score is 4 + 5 + 6 = 15.
An appropriate nursing intervention for a client with fatigue related to cancer treatment includes teaching the client to:
- A. Increase fluid intake.
- B. Minimize naps or periods of rest during day.
- C. Conserve energy by limiting activities.
- D. Limit dietary intake of high-fiber foods.
Correct Answer: C
Rationale: Conserving energy by limiting activities helps manage fatigue, a common side effect of cancer treatment, by balancing rest and activity.
To approach a deaf client, the nurse should do which of the following first?
- A. Knock on the room's door loudly.
- B. Close and open the vertical blinds rapidly.
- C. Talk while walking into the room.
- D. Get the client's attention.
Correct Answer: D
Rationale: Getting the client's attention first (e.g., by waving or tapping gently) ensures effective communication with a deaf client, as they may not hear auditory cues.
What therapeutic outcome does the nurse expect for a client who has received a premedication of glycopyrrolate (Robinul)?
- A. Increased heart rate.
- B. Increased respiratory rate.
- C. Decreased secretions.
- D. Decreased amnesia.
Correct Answer: C
Rationale: Glycopyrrolate is an anticholinergic that reduces salivary and respiratory secretions, improving airway management during surgery.
A client is to receive peritoneal dialysis. To prepare for the procedure, the nurse should?
- A. Assess the dialysis access for a bruit and thrill.
- B. Insert an indwelling urinary catheter and drain all urine from the bladder.
- C. Ask the client to turn toward the left side.
- D. Warm the solution in the warmer.
Correct Answer: D
Rationale: Warming the dialysis solution prevents discomfort and promotes effective dialysis by relaxing abdominal muscles.