Practice Question
In formulating the nursing care plan for a client diagnosed with Parkinson's disease, which nursing problem has the highest priority?
Answer Choices:
Correct Answer:
Risk for aspiration relative to muscle weakness.
Rationale:
💎 Dysphagia and impaired gag reflex are common in Parkinson’s due to muscle rigidity and bradykinesia.
💎 Aspiration places the client at risk for pneumonia, a leading cause of morbidity in Parkinson’s disease.
💎 Prioritizing airway protection follows ABC (Airway, Breathing, Circulation) safety principles.
💎 This risk surpasses other concerns as it can cause acute respiratory compromise.
💎 Early identification allows for interventions like swallowing assessments or dietary modifications.
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This question is from RN-HESI Exit~2023 Exam 4 which contains 115 questions.
More Questions from This Exam
A client with a history of heart failure arrives at the emergency department describing an onset of fatigue and weakness. Theclient has been taking spironolactone 50 mg tablets PO every day.The nurse receives report from the lab that the client has a serum potassium level of 6.2 mEq/L (6.2 mmol/L). Which intervention is most important for the nurse to implement?
Answer Choices:
A. Compare muscle strength bilaterally.
B. Determine apical pulse rate and rhythm.
C. Assess strength of deep tendon reflexes.
D. Observe color and amount of urine.
The nurse plans to collect a 24-hour urine specimen for a creatinine clearance test. Which instruction should the nurse provide to the client?
Answer Choices:
A. For the next 24 hours, notify the nurse when the bladder is full, and the nurse will collect catheterized specimens.
B. Urinate immediately into a urinal, and the lab will collect the specimen every 6 hours for the next 24 hours.
C. Urinate at a specified time, discard this urine, and collect all subsequent urine during the next 24 hours.
D. Cleanse and meatus, discard the first portion of voiding, and collect the rest in a sterile bottle.
A client experiencing withdrawal from the benzodiazepine alprazolam is demonstrating severe agitation and tremors. Which is the best initial nursing action?
Answer Choices:
A. Instruct the family about withdrawal symptoms.
B. Initiate seizure precautions.
C. Obtain a serum drug screen.
D. Administer naloxone per PRN protocol.
A client is brought to the emergency department after falling from of a ladder and is showing signs of confusion and disorientation.The spouse states the client appeared to have lost consciousness. The nurse is provided with a list of current medications and healthcare power of attorney. When reporting to the healthcare provider using SBAR (Situation, Background, Assessment, Recommendation) communication, which information should the nurse provide first?
Answer Choices:
A. Currently prescribed medications.
B. Falling from a ladder as reason for admission.
C. Increasing confusion of the client.
D. Client's healthcare power of attorney.
A client with pancreatic cancer develops ascites, and 2 liters of fluid are removed via paracentesis. Which schedule should the nurse implement to assess the client's blood pressure after this procedure?
Answer Choices:
A. Every 5 minutes for 30 minutes, then every 4 hours thereafter.
B. Every 5 minutes for one hour.
C. Every 15 minutes for one hour, then every 1 hour for 2 hours.
D. Every 1 hour for 2 hours.
Question Details
- Category: RN Nursing Exam(s)
- Subcategory: HESI-Exit Exam(s)
- Domain: HESI Exit Exam(s)~2023
- Answer Choices: 4