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.
Orthostatic hypotension.
Stooped posture.
Bradykinesia.
Muscular rigidity.
Shuffling, propulsive gait.
Correct Answer : A,B,C,D,E
Choice A reason: Orthostatic hypotension is a common issue in PD and requires interventions to prevent falls.
Choice B reason: Stooped posture is characteristic of PD and affects mobility and balance.
Choice C reason: Bradykinesia (slowness of movement) is a hallmark of PD and impacts daily activities and mobility.
Choice D reason: Muscular rigidity is a key symptom of PD and affects the client's ability to move freely.
Choice E reason: A shuffling, propulsive gait is typical in PD and requires interventions to ensure safety and improve mobility.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
Choice A reason: Systemic inflammatory response is more characteristic of rheumatoid arthritis rather than osteoarthritis.
Choice B reason: Infectious process in the synovial fluid suggests septic arthritis, not osteoarthritis.
Choice C reason: Loss of bone mineral density is related to osteoporosis, not specifically to osteoarthritis.
Choice D reason: Osteoarthritis is characterized by the destruction of joint cartilage, leading to pain and stiffness in the affected joints.
Correct Answer is A
Explanation
Choice A reason: Relevance to the situation is the most important consideration when gathering evidence to ensure that the information directly addresses the specific clinical question and problem at hand.
Choice B reason: Related personal values are important but secondary to the relevance of evidence in making clinical decisions.
Choice C reason: Frequency that the problem occurs is useful information but not as crucial as ensuring the evidence is directly relevant.
Choice D reason: Past experience with similar problems can inform decision-making but should be supported by relevant and current evidence.
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