Pass the NCLEX Certification NCLEX-PN Questions and answers with ExamsMirror

The client with Parkinson’s disease can develop a shuffling gait and rigidity, causing impaired physical

mobility. The other diagnoses do not necessarily relate to a client with Parkinson’s disease.Reduction of Risk

Potential

Controversy over what types of food to eat and not eat is still under investigation. Certain foods can help

improve body defenses to possibly prevent certain diseases.Nonpharmacological Therapies

To remove hard contact lenses, the upper and lower eyelids are gently maneuvered to help loosen the lens and

slide it out of the eye. The lens must be situated on the cornea, not the sclera, before removal. An attempt to grasp

a hard lens might result in a scratch on the cornea. Clean gloves are an option if drainage is present.Basic Care

and Comfort

A stab wound to the chest might result in lung collapse and mediastinal shift that, if untreated, could lead to

death. Treatment of an obstructed airway or a chest wound is a higher priority than hemorrhage. The principle of

ABC (airway, breathing, and circulation) prioritizes care decisions.Physiological Adaptation

Somatizing means one experiences an emotional conflict as a physical symptom. Ashley manifests several

physical symptoms associated with severe anxiety. Acting out refers to behaviors such as anger, crying, laughter,

and physical or verbal abuse. Withdrawal is a reaction in which psychic energy is withdrawn from the environment

and focused on the self in response to anxiety. Problem-solving takes place when anxiety is identified and the

unmet need is met.Psychosocial Integrity

These ABG values are within normal limits. Choices 1, 3, and 4 are incorrect because the ABG values

indicate none of these acid-base disturbances.Physiological Adaptation

Parents are the primary force in sex education in a child’s life. The school nurse is involved with formal sex

education and counseling. Peers become more important in sex education during adolescence but might lack

correct information. The media play a powerful role in what children learn about sex through movies, TV, and

video games.Health Promotion and Maintenance

Displacement is the transference of anger to another. Anger is displaced on the dog as a convenient object.

Psychosocial Integrity

A client having a seizure should be turned to the side to prevent aspiration of secretions. The other statements

are correct and indicate adequate understanding of teaching.Reduction of Risk Potential

The nurse should change the intravenous tubing on total parenteral nutrition solutions every 24 hours, due to

the high risk of bacterial growth.Health Promotion and Maintenance

The usual recommendation for treatment of hypoglycemia is 10–15 grams of a fast-acting simple carbohydrate,

orally, if the client is conscious and able to swallow (for example, 3–4 commercially prepared glucose tablets or 4–6

oz of fruit juice). It is not necessary to add sugar to juice, even if it is labeled as unsweetened juice because the fruit

sugar in juice contains enough simple carbohydrate to raise the blood glucose level. Addition of sugar might result in a sharp rise in blood sugar that could last for several hours.Physiological Adaptation

Pathologic fractures are not common to the disease process. Its treatment through osteoporosis is a potential

complication of steroid use. Hodgkin’s disease most commonly affects young adults (males), is spread through

lymphatic channels to contiguous nodes, and also might spread via the hematogenous route to extradal sites (GI,

bone marrow, skin, and other organs). A working staging classification is performed for clinical use and care.

Physiological Adaptation

Kegel exercises, tightening and releasing the pelvic floor muscles, might improve stress incontinence. Choice 1

is not an appropriate treatment for stress incontinence. Several effective surgical treatments exist. Lifestyle and

dietary modifications can also be helpful.Physiological Adaptation

Thrill should be present. The client should be taught to check this daily at home. Pulsation is not typically

visible. Percussion gives no information about the patency of a fistula. Blood pressure is not auscultated in a limb

with an AVF. Auscultation of the AVF, for a bruit, is part of an assessment for patency.Physiological Adaptation

The client cannot speak to alert the nurse to his pain state. The nurse needs to provide alternate methods of communication with the client.Basic Care and Comfort