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.
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. Drinking large amounts of fluids before bedtime may increase nocturia but does not specifically prevent UTIs.
B. Voiding before and after sexual activity helps flush out bacteria that could enter the urethra.
C. Holding urine is harmful and can increase the risk of bacterial growth.
D. Cleaning in a circular motion is not the correct hygiene technique; wiping front to back is the recommended method.
Correct Answer is B
Explanation
A. Client's bladder: The bladder is typically sterile. Infection is most likely introduced from external sources such as the catheter or tubing.
B. Catheter tubing: The catheter and its tubing can harbor bacteria, which increases the risk of a urinary tract infection.
C. The client's bed: Although the bed should be kept clean, it is unlikely to be the direct source of infection.
D. Urinary meatus: The meatus is usually sterile, and infection is more likely to arise from the catheter or tubing.
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