During an assessment of a 62-year-old man, the nurse notices the patient has a stooped posture, shuffling walk with short steps, flat facial expression, and pill-rolling finger movements. These findings would be consistent with:
Cerebral palsy.
Cerebellar ataxia.
Muscular dystrophy
Parkinsonism.
The Correct Answer is D
A. Cerebral palsy affects movement and coordination but typically presents with different types of motor impairment and not the specific signs of Parkinsonism.
B. Ataxia involves a lack of coordination, often affecting gait, but it would not typically involve the specific signs such as pill-rolling tremor or stooped posture.
C. Muscular dystrophy involves muscle weakness and atrophy but does not typically cause the motor symptoms observed in this patient.
D. Parkinson's disease is characterized by the classic signs of tremor (pill-rolling), bradykinesia (slow movement), postural instability, and a shuffling gait, which the patient exhibits.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A. This is a normal finding in gait, as the feet should typically remain parallel while walking.
B. Heels strike the ground before the toes. This is a normal gait pattern, especially in elderly individuals, where a heel-to-toe walk is common.
C. Reses each foot off the floor with each step. This is a normal finding, as the person should lift their foot off the ground while walking.
D. Right arm and leg move forward together. This is an abnormal finding, indicating a possible neurological issue such as hemiparesis or other gait disturbance, which warrants further evaluation.
Correct Answer is D
Explanation
A. A score of 24 would indicate a fully alert and responsive patient. The Glasgow Coma Scale ranges from 3 (deep coma) to 15 (fully awake).
B. A score of 12 indicates a moderate level of consciousness, not a coma.
C. A score of 15 indicates that the patient is fully conscious and alert.
D. A score of 6 indicates a coma and represents a very low level of consciousness, with minimal responses to stimuli.
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