Which symptoms occurs initially in Parkinson disease?
Aspiration
Dementia
Akinesia
Pill-rolling movements of the hand
The Correct Answer is D
A. Aspiration can occur in later stages of Parkinson disease due to impaired swallowing and muscle coordination, but it is not an initial symptom.
B. Dementia may develop as the disease progresses, but it is not typically seen in the early stages.
C. Akinesia, or the absence or loss of voluntary movement, may appear later but is not usually the first sign.
D. Pill-rolling movements of the hand (a type of resting tremor) are often one of the earliest signs of Parkinson disease and commonly prompt individuals to seek medical evaluation.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. Showers are safer than tub baths for clients with epilepsy because they reduce the risk of injury or drowning if a seizure occurs.
B. Exercising just prior to bedtime may disrupt sleep and potentially lower seizure threshold; regular exercise earlier in the day is preferable.
C. Caffeine can lower the seizure threshold and potentially increase seizure risk, so it should be limited.
D. Fasting can also lower the seizure threshold and is not recommended for seizure prevention.
Correct Answer is C
Explanation
A. This is incorrect and dangerous—aspirinis strongly associated with Reye's syndromewhen given to children with viral infections (e.g., flu, chickenpox).
B. While testing may be appropriate if symptoms arise, this does not preventthe syndrome.
C. The most important preventive teaching is to avoid giving salicylates (like aspirin)to children with viral symptoms, as this is a known risk factor for Reye's syndrome, a potentially fatal condition.
D. There is no vaccinespecifically for Reye’s syndrome, so immunization is not a method of prevention.
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