A client complains of a right-hand tremor, increasing weakness, and muscles feeling tight. The nurse notes the client has poor voice volume and facial muscles do not move easily
Based on this data, which diagnosis does the nurse anticipate?
A) Parkinson disease
B) Spinal cord injury
C) Cerebral vascular accident
D) Multiple sclerosis
Answer: A
Manifestations of Parkinson disease include unintentional tremor, slowed movements, low amplitude of speech, expressionless face, and muscle rigidity. The client is complaining of or exhibiting all these symptoms, indicating Parkinson disease. These symptoms are not manifestations of multiple sclerosis, spinal cord injury, or a cerebral vascular accident.
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A patient is having an operation in the morning. During the nurse's shift, the patient asks several questions that lead the nurse to determine that the patient does not understand the procedure. The best action by the nurse is to
a. call the surgeon to come back and explain the procedure. b. pass this information on to the day shift in shift report. c. reassure the patient that he or she understood the operation correctly earlier. d. try to explain the operation so that the patient understands.
A 5-month-old infant is in respiratory distress. What should the nurse expect to find?
a. Nasal flaring b. Bradycardia c. Abdominal breathing d. Capillary refill of 2 seconds
The nurse is planning a presentation to a group of mental health care providers on the topic of co-occurring disorders
The nurse should plan to instruct the group that these clients are often underserved and under treated because some health professionals: A) Often substitute the 12-step programs for treatment. B) Under diagnose personality disorders in those who take illicit drugs. C) Over diagnose concurrent mental health disorders. D) May view mental health disorders as outside their expertise.
The nurse is examining a patient's ears and notices cerumen in the external canal. Which of these statements about cerumen is correct?
a. Sticky honey-colored cerumen is a sign of infection. b. The presence of cerumen is indicative of poor hygiene. c. The purpose of cerumen is to protect and lubricate the ear. d. Cerumen is necessary for transmitting sound through the auditory canal.