Which problem statement/nursing diagnosis is most appropriate for a person with Parkinson disease?
Risk for falls related to unsteady gait
Risk for impaired skin integrity related to tremor
Nutrition: less than body requirements related to nausea
Ineffective airway clearance related to drooling
The Correct Answer is A
A. Parkinson’s disease often causes motor symptoms such as rigidity and bradykinesia, leading to an unsteady gait and increased fall risk.
B. Tremors do not directly cause impaired skin integrity; immobility or pressure may be more relevant factors.
C. Nausea is not a primary symptom of Parkinson’s disease or its typical treatments.
D. Drooling occurs but is less immediately threatening than fall risk; ineffective airway clearance may develop but is not the most common nursing diagnosis early on.
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Related Questions
Correct Answer is B
Explanation
A.While learning disabilities can contribute to declining academic performance, they typically present as ongoing challenges rather than sudden behavioral changes like "daydreaming" spells.
B.Absence seizures are characterized by sudden, brief periods of staring or unresponsiveness. These can be mistaken for daydreaming, especially in school-aged children, and often lead to academic difficulties if left untreated. A healthcare evaluation is necessary.
C.ADHD usually involves consistent patterns of inattention, hyperactivity, and impulsivity, rather than short, repetitive lapses in awareness seen with absence seizures.
D.Hearing loss might explain inattentiveness or poor academic performance, but it does not typically present as sudden, repeated staring episodes without awareness.
Correct Answer is D
Explanation
A. The nurse should stay with the child during the seizure and ensure safety before seeking help if needed.
B. Manually restraining the child can cause injury and is not recommended.
C. Inserting a tongue blade is contraindicated and can cause choking or injury.
D. Removing nearby objects prevents injury during the seizure and is the safest immediate action.
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