A client with Parkinson's disease (PD) is admitted to the medical surgical unit and the nurse assesses the client's mobility needs. Which finding(s) indicate the need to plan interventions related to the client's mobility? Select all that apply.
Bradykinesia.
Stooped posture.
Orthostatic hypotension.
Shuffling, propulsive gait.
Muscular rigidity.
Correct Answer : A,B,D,E
A. Bradykinesia (slowness of movement) is a hallmark symptom of Parkinson's disease and will directly affect the client's mobility, requiring intervention to assist with movement and prevent falls.
B. Stooped posture is common in Parkinson's disease and can contribute to impaired balance and increase the risk of falls, making interventions for posture and mobility necessary.
C. Orthostatic hypotension is not specifically a mobility issue, but it can affect the client's overall safety and risk for falls. It may require monitoring and interventions to address blood pressure changes, but it is not as directly related to mobility as the other symptoms.
D. Shuffling, propulsive gait is a typical motor symptom of Parkinson's disease and increases the risk of falls, necessitating planning for interventions to improve gait and balance.
E. Muscular rigidity is another classic symptom that can limit the client's mobility, causing difficulty with movement, and requires interventions to improve range of motion and reduce stiffness.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
A. While measuring body temperature is important for infection monitoring, it is not the primary concern after prasugrel administration.
B. Pedal edema is not a common side effect of prasugrel and does not directly relate to its adverse effects.
C. Prasugrel is an antiplatelet medication that increases the risk of bleeding. Monitoring for signs of bleeding, such as blood in the urine (hematuria), is important to assess for adverse effects.
D. Assessing skin turgor is important for hydration status but does not address bleeding risks associated with prasugrel.
Correct Answer is {"dropdown-group-1":"A","dropdown-group-2":"A","dropdown-group-3":"D"}
Explanation
Appendicitis is the most likely diagnosis, given the right lower quadrant (RLQ) pain, fever, nausea, vomiting, and CT findings of a dilated appendix with fat stranding. CT scan results confirming appendix dilation and fat stranding indicate inflammation, which is characteristic of appendicitis. WBC count is often elevated in appendicitis due to the inflammatory response and potential infection. Gastroenteritis is unlikely since there is no history of diarrhea or recent illness, and pneumonia is not relevant given the primary abdominal symptoms.
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