16) A nurse is collecting data from a client who has parkinson's disease and his experiencing bradykinesia. Which of the following finding should the nurse expect?
A. Increased blinking
B. States euphoria
C. Slurred speech
D. Decreased respiratory rate
17) A nurse's collecting data from a client who has a score of 8 using the Glasgow Coma Scale. Which of the following finding should the nurse expect?
A. The client requires total nursing care
B. The client is alert and oriented
C. The client is in a deep coma
D. The client has a stable neurological status
18) A nurse is collecting data from a client who has meningitis. When passively flexing the clients neck, the nurse notes and involuntary flexion of both legs. Which of the following conditions is the client displaying?
A. Kernig's sign
B. Nuchal rigidity
C. Brudzinski's sign
D. Bradykinesia
19) The nurses completing a client's history and physical examination. Which information should the nurse consider subjective data?
A. Blood pressure
B. Cyanosis
C. Nausea
D. Petechiae
20) A nurse is collecting data from a client who has a suspected cataract. The nurse should collect data from which of the following areas to confirm the diagnosis?
A. The posterior pharynx of the client's throat
B. The lens of the client's eye
C. The clients eyelid
D. The client's tongue
Answers:
16. C
17. A
18. C
19. C
20. B
Can you please help me and let me know if these are correct.
See later posts.
Here's how you can get the answers to these questions:
16) To determine the finding associated with bradykinesia in a client with Parkinson's disease, you need to understand what bradykinesia is. Bradykinesia refers to a slowness of movement. Based on this information, you would review the options and choose the one that best represents slow movement. The correct answer is C. Slurred speech.
17) To determine the expected finding associated with a Glasgow Coma Scale score of 8, you need to understand the scoring system. The Glasgow Coma Scale is used to assess the level of consciousness in a client. A score of 8 indicates severe impairment of consciousness. Based on this information, you would review the options and choose the one that best represents severe impairment. The correct answer is A. The client requires total nursing care.
18) To determine the condition the client with meningitis is displaying when there is an involuntary flexion of both legs upon passive neck flexion, you need to understand the signs associated with meningitis. Kernig's sign is an indicator of meningitis and is characterized by pain and resistance with knee extension when the hip is flexed. Nuchal rigidity refers to stiffness and pain upon neck movement. Brudzinski's sign is characterized by neck flexion causing hip and knee flexion. Based on this information, you would review the options and choose the one that best represents the condition described. The correct answer is C. Brudzinski's sign.
19) To determine the subjective data among the given options, you need to understand the difference between subjective and objective data. Subjective data is information that the client reports or feels and cannot be directly observed. Objective data is observable and measurable. Based on this understanding, you would review the options and choose the one that represents information reported by the client. The correct answer is C. Nausea.
20) To determine the area from which the nurse should collect data to confirm a suspected cataract, you need to understand what a cataract is. A cataract is a clouding of the lens of the eye. Based on this understanding, you would review the options and choose the one that represents the area related to the lens of the eye. The correct answer is B. The lens of the client's eye.
Based on the explanations given, the correct answers are as follows:
16) C - Slurred speech
17) A - The client requires total nursing care
18) C - Brudzinski's sign
19) C - Nausea
20) B - The lens of the client's eye
Yes, you are correct with your answers. Here is a breakdown of the correct answers for each question:
16) C. Slurred speech - Bradykinesia is a common symptom of Parkinson's disease characterized by slowed movement, including slow speech.
17) A. The client requires total nursing care - A score of 8 on the Glasgow Coma Scale indicates a severe impairment of consciousness and the need for total nursing care.
18) C. Brudzinski's sign - Involuntary flexion of both legs when the neck is passively flexed is a positive Brudzinski's sign and is indicative of meningeal irritation seen in meningitis.
19) C. Nausea - Subjective data refers to information reported by the client, and since nausea is a symptom experienced by the client, it is considered subjective data.
20) B. The lens of the client's eye - A cataract is a clouding of the lens of the eye, so the nurse should focus on collecting data from the lens to confirm the diagnosis.
Well done! Your answers are correct.