The nurse is planning the care of a client with Parkinson disease. The nurse should be aware that treatment will focus on what pathophysiologic phenomenon? A) Premature degradation of acetylcholine B) Decreased availability of dopamine C) Insufficient synthesis of epinephrine D) Delayed reuptake of serotonin

The nurse is providing care for a client who is unconscious. What nursing intervention takes highest priority? A) Maintaining accurate records of intake and output B) Maintaining a patent airway C) Inserting a nasogastric (NG) tube as prescribed D) Providing appropriate pain control

The nurse is caring for a client with increased intracranial pressure (ICP). The client has a nursing diagnosis of “ineffective cerebral tissue perfusion.” What would be an expected outcome that the nurse would document after providing interventions for this diagnosis? A) Copes with sensory deprivation B) Registers normal body temperature C) Pays attention to grooming and appearance D) Obeys commands with appropriate motor responses

The nurse has created a plan of care for a client who is at risk for increased ICP. The client's care plan should specify monitoring for what early sign of increased ICP? A) Disorientation and restlessness B) Decreased pulse and respirations C) Projectile vomiting D) Loss of corneal reflex

The nurse is caring for a client whose recent health history includes an altered LOC. What should be the nurse's first action when assessing this client? A) Assessing the client's verbal response B) Assessing the client's ability to follow complex commands C) Assessing the client's judgment D) Assessing the client's response to pain

A client has experienced a seizure in which she became rigid and then experienced alternating muscle relaxation and contraction. What type of seizure does the nurse recognize? A) Unclassified seizure B) Absence seizure C) Generalized seizure D) Focal seizure

A hospital client has experienced a seizure. In the immediate recovery period, what action best protects the client's safety? A) Place the client in a side-lying position B) Pad the client's bed rails C) Administer antianxiety medications as prescribed D) Reassure the client and family members

A client diagnosed with Bell palsy is being cared for on an outpatient basis. During health education, the nurse should promote which of the following actions? A) Applying a protective eye shield at night B) Chewing on the affected side to prevent unilateral neglect C) Avoiding the use of analgesics whenever possible D) Avoiding brushing the teeth

A client with suspected Parkinson disease is initially being assessed by the nurse. When is the best time to assess for the presence of a tremor? A) When the client is resting B) When the client is ambulating C) When the client is preparing their meal tray to eat D) When the client is participating in occupational therapy

A client has just been diagnosed with Parkinson disease and the nurse is planning the client's subsequent care for the home setting. What nursing diagnosis should the nurse address when educating the client's family? A) Risk for infection B) Impaired spontaneous ventilation C) Unilateral neglect D) Risk for injury