A client with Parkinson's disease (PD) is admitted to the medical surgical unit and the nurse assesses the client's mobility needs. Which finding(s) indicate the need to plan interventions related to the client's mobility? Select all that apply.

Bradykinesia.

Stooped posture.

Orthostatic hypotension.

Shuffling, propulsive gait.

Muscular rigidity.

Answer and Explanation

Correct Answer : A,B,D,E

A. Bradykinesia (slowness of movement) is a hallmark symptom of Parkinson's disease and will directly affect the client's mobility, requiring intervention to assist with movement and prevent falls.

B. Stooped posture is common in Parkinson's disease and can contribute to impaired balance and increase the risk of falls, making interventions for posture and mobility necessary.

C. Orthostatic hypotension is not specifically a mobility issue, but it can affect the client's overall safety and risk for falls. It may require monitoring and interventions to address blood pressure changes, but it is not as directly related to mobility as the other symptoms.

D. Shuffling, propulsive gait is a typical motor symptom of Parkinson's disease and increases the risk of falls, necessitating planning for interventions to improve gait and balance.

E. Muscular rigidity is another classic symptom that can limit the client's mobility, causing difficulty with movement, and requires interventions to improve range of motion and reduce stiffness.

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Correct Answer is A

Explanation

A. Zolpidem is a sedative-hypnotic used for insomnia and should be taken immediately before bedtime to avoid daytime drowsiness.
B. Storing at room temperature is correct but not the most critical teaching point.
C. Taking with a meal can delay absorption and onset of action.
D. Crushing zolpidem is not recommended as it is an extended-release formulation in some cases.

A. Advance from clear liquids as tolerated. B. Straight catheterization if unable to void. C. Cefazolin 1 gram IV every 6 hours. D. Complete blood cell count (CBC) in AM.

Correct Answer is C

Explanation

A. Advancing to clear liquids is important for nutritional support but is secondary to ensuring urinary function is restored.

B. Urinary retention is a concern after anesthesia, but it is not an immediate threat. This intervention is conditional (“if unable to void”), meaning it is implemented only if needed.

C. Postoperative clients are at high risk for infection. Cefazolin (a broad-spectrum antibiotic) is a prophylactic measure to reduce the risk of surgical site infection, which is a priority intervention immediately after surgery. This should be implemented first, since infection prevention begins as soon as the client arrives from PACU.

D. A CBC is important for monitoring but is not urgent in comparison to immediate care needs like urinary output.

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A client with Parkinson's disease (PD) is admitted to the medical surgical unit and the nurse assesses the client's mobility needs. Which finding(s) indicate the need to plan interventions related to the client's mobility? Select all that apply.

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse is providing education to a client who receives a prescription for zolpidem. Which information about the medication should the nurse include?

Correct Answer is A

Explanation

The nurse is admitting a client from the postanesthesia care unit (PACU) to the postoperative surgical care unit. Which prescription should the nurse implement first?

Correct Answer is C

Explanation

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Patient Data Exhibits The nurse reviews the prescriptions and plans initial steps for caring for the client. Click to indicate which interventions the nurse should perform to care for this client. Each row must have one response option selected.

Exhibits Which laboratory tests would be helpful in determining the plan of care for this client? Select all that apply.

After the nurse witnesses a preoperative client signing the surgical consent form, the nurse signs the form as a witness. Which is (are) the legal implication(s) of the nurse's signature on the client's surgical consent form? Select all that apply.