A nurse is caring for a client newly diagnosed with Parkinson’s disease.
The client states, “I have no idea why I got this.”. What is the most important he nurse should ask this client while performing the assessment?

Choice A rationale
Peripheral neuropathy is a result of damage to the peripheral nerves and is often associated with conditions like diabetes, infections, and traumatic injuries. It typically causes chronic pain, characterized by a burning or tingling sensation, rather than acute pain.
Choice B rationale

Fibromyalgia is a chronic disorder characterized by widespread musculoskeletal pain, fatigue, and tenderness in localized areas. It is not an example of acute pain.
Choice C rationale
A surgical incision is a common cause of acute pain. Pain from a surgical incision occurs suddenly, usually as a result of tissue damage from the surgery, and it resolves once the tissue heals.
Choice D rationale
Rheumatoid arthritis is a chronic inflammatory disorder that can affect more than just your joints. It typically causes chronic pain, not acute pain.

Choice A rationale

Anhidrosis, or the inability to sweat normally, is a potential side effect of anticholinergic agents. These medications block the action of acetylcholine, a neurotransmitter that stimulates sweat glands among other functions. If a patient taking an anticholinergic agent for Parkinson’s disease experiences anhidrosis, they should report it to their healthcare provider as it can lead to overheating and heat stroke.
Choice B rationale
Tremors are a common symptom of Parkinson’s disease, and anticholinergic medications are often used to help control them. Therefore, while tremors should be monitored, they are not typically a side effect that needs to be reported unless they worsen or become unmanageable.
Choice C rationale
Drooling can be a symptom of Parkinson’s disease, but it is not typically a side effect of anticholinergic medications. In fact, these medications can sometimes cause dry mouth.
Choice D rationale
Rigidity, like tremors, is a common symptom of Parkinson’s disease. Anticholinergic medications can help manage rigidity, so it is not typically a side effect that needs to be reported unless it worsens.