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 D

Explanation

A. Feelings of disorientation may be a symptom of heroin use, but addressing the client’s mental health, particularly suicidal tendencies, takes precedence.
B. Undiagnosed social anxiety symptoms may be important for long-term care, but the immediate concern is the risk of self-harm or overdose.
C. Family history of schizophrenia is relevant for mental health but does not take priority over assessing suicide risk in a client using heroin.
D. A history of suicide attempts is crucial for the nurse to consider because individuals using heroin may be at an increased risk of self-harm due to the psychological effects of substance use and potential for overdose. Immediate safety and suicide risk assessment are critical.

A. Administer an antiemetic to prevent vomiting. B. Apply bilateral eye shields to reduce photosensitivity. C. Report the eye pain to the surgeon. D. Begin postoperative prophylactic antibiotics.

Correct Answer is C

Explanation

A. Administering an antiemetic is not the priority, as the pain reported by the client needs to be evaluated by the surgeon first.
B. While eye shields may be used to protect the eyes after surgery, the acute pain should be reported to the surgeon to rule out complications.
C. Acute, deep eye pain after laser trabeculoplasty could indicate complications, such as increased intraocular pressure, infection, or damage to the eye. Immediate reporting to the surgeon is necessary for further evaluation and intervention.
D. Prophylactic antibiotics may be prescribed postoperatively, but they are not the first response to acute pain.

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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

During an admission assessment, a client reports currently using heroin. Which information is most important for the nurse to consider in the plan of care?

Correct Answer is D

Explanation

Following laser trabeculoplasty surgery for open-angle glaucoma, the client reports acute pain deep within the eye. Which action should the nurse take?

Correct Answer is C

Explanation

While caring for a toddler receiving oxygen via face mask, the nurse observes that the child's lips and nares are dry and cracked. Which intervention should the nurse implement?

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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?

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