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A nurse assesses a client with Parkinson's disease and notes shuffling gait, bradykinesia, and a masklike facial expression. Which intervention is the priority?

A.

Provide high-calorie snacks

B.

Implement fall precautions

C.

Encourage fluid intake

D.

Encourage social interaction

Answer and Explanation

The Correct Answer is B

A. Provide high-calorie snacks: Clients with Parkinson’s disease may have increased caloric needs due to tremors and rigidity, but nutritional support does not address the immediate safety risks posed by impaired mobility. Caloric intake is important for long-term management rather than urgent intervention.

B. Implement fall precautions: Shuffling gait and bradykinesia significantly impair balance and increase the risk of falls. Masklike facies may also limit protective reflexes and environmental awareness. Preventing injury through fall precautions is the highest priority based on the client’s current motor findings.

C. Encourage fluid intake: Adequate hydration supports overall health and may help reduce constipation or orthostatic hypotension. However, fluid intake does not directly mitigate the immediate risk of falls associated with gait instability. It is a supportive, not priority, intervention.

D. Encourage social interaction: Social engagement can help address depression and isolation common in Parkinson’s disease. While important for psychosocial well-being, it does not address the acute physical safety concerns identified during the assessment.


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Related Questions

Correct Answer is C

Explanation

A. "Sunlight reduces joint inflammation in lupus.": Ultraviolet (UV) light does not reduce inflammation in lupus. Exposure to sunlight can actually exacerbate systemic and cutaneous symptoms.

B. "Sun exposure improves vitamin D and prevents flares.": While sunlight supports vitamin D synthesis, in lupus, UV exposure increases the risk of disease flares and skin lesions. Vitamin D should be obtained through diet or supplements rather than intentional sun exposure.

C. "UV light can trigger lupus flares and worsen skin lesions.": Ultraviolet radiation can activate the immune system in individuals with lupus, leading to inflammation, rashes, and systemic flares. Avoiding sun exposure and using protective measures are essential parts of self-care to prevent exacerbations.

D. “Photosensitivity is only a minor concern in lupus.": Photosensitivity is a major concern for many clients with lupus. Dismissing it can result in flares, worsening rashes, and increased risk of organ involvement. Patient education on sun protection is critical.

Correct Answer is ["26"]

Explanation

Calculation:

  • Identify the prescribed dose and IV concentration

Prescribed Dose: 1,300 units/hr

IV Concentration: 25,000 units in 500 mL

  • Calculate the concentration in units per mL

Concentration = 25,000 ÷ 500 = 50 units/mL

  • Calculate the infusion rate in mL/hr

Infusion Rate (mL/hr) = Prescribed Dose ÷ Concentration

Infusion Rate = 1,300 ÷ 50

Infusion Rate = 26 mL/hr

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