ATI LPN Med Surg Exam 4 | Nurselytic

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ATI LPN Med Surg Exam 4 Questions

Extract:

Nurses Notes
Day 1:
Oriented to person, place, and time. Speech is slow. Unilateral resting tremors noted in right arm. Gait is slow and rigid.
6 months later:
Oriented to person and place, disoriented to date and time. Speech is slow and slurred. Bilateral resting tremors noted in extremities and generalized muscle stiffness. Facial rigidity and drooling noted. Gait is slow and client shuffles their feet when ambulating.


Question 1 of 5

A nurse is caring for a client. For each client finding, click to specify if the finding is consistent with Parkinson's disease, stroke, and/or multiple sclerosis. Each finding can support more than one disease process.

Options Parkinson's disease Stroke Multiple sclerosis
Ambulation pattern: Parkinson's disease
Muscle movements: Parkinson's disease
Speech: Parkinson's disease, Stroke, Multiple sclerosis
Orientation status: Parkinson's disease, Stroke, Multiple sclerosis
Facial rigidity: Parkinson's disease

Correct Answer: A,B,C,D,E

Rationale: 1. Ambulation Pattern: The slow and shuffling gait is characteristic of Parkinson's disease due to muscle rigidity and bradykinesia. 2. Muscle Movements: Unilateral resting tremors and generalized muscle stiffness are hallmark signs of Parkinson's disease. 3. Speech: Slow and slurred speech is common in Parkinson's disease, stroke (due to dysarthria), and multiple sclerosis (due to neurological involvement). 4. Orientation Status: Disorientation can occur in later stages of Parkinson's disease, stroke, and multiple sclerosis due to cognitive decline. 5. Facial Rigidity: Facial rigidity, or 'masked face,' is a classic symptom of Parkinson's disease.

Extract:


Question 2 of 5

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Question 3 of 5

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Question 4 of 5

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Question 5 of 5

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