The client's family complains of several gradually presenting signs and symptoms. The nurse suspects Parkinson's disease based on what signs and symptoms? (Select all that apply)
Cullen's sign
Bradykinesia
Pill rolling
Unilateral tremors
Swan neck deformity
Correct Answer : B,C,D
Choice A reason: Cullen's sign is a physical finding of bruising around the umbilicus, often associated with intra-abdominal bleeding or pancreatitis. It is not related to Parkinson's disease.
Choice B reason: Bradykinesia, or slowed movement, is a hallmark symptom of Parkinson's disease. It affects the ability to initiate and control movements.
Choice C reason: Pill rolling is a characteristic hand tremor seen in Parkinson's disease. It involves a rhythmic movement of the fingers as if rolling a small object between them.
Choice D reason: Unilateral tremors, or tremors occurring on one side of the body, are often one of the early signs of Parkinson's disease. The tremors typically start on one side and may progress to affect both sides.
Choice E reason: Swan neck deformity is a feature of rheumatoid arthritis, involving deformity of the fingers. It is not associated with Parkinson's disease.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Choice A reason: Hyperkalemia is a common finding in the oliguric phase of acute kidney injury due to reduced excretion of potassium by the kidneys. This electrolyte imbalance can have serious cardiac effects and should be expected and monitored in these patients.
Choice B reason: An increased glomerular filtration rate (GFR) would not be expected in the oliguric phase of acute kidney injury. Typically, GFR is decreased due to reduced kidney function during this phase.
Choice C reason: Decreased creatinine levels are not expected in acute kidney injury. Creatinine levels usually increase as kidney function declines and the body cannot adequately filter waste.
Choice D reason: Hypovolemia is not typically expected in the oliguric phase of acute kidney injury, as oliguria (reduced urine output) often indicates fluid retention rather than fluid loss.
Correct Answer is C
Explanation
Choice A reason: While planning activities is important, limiting them to only a few does not fully support the client's independence and participation. Encouraging the client to engage in as many activities as they can manage, with appropriate rest breaks, is more beneficial.
Choice B reason: Clustering activities at the same time can lead to fatigue and overwhelm for a client with Parkinson's disease. It's better to space activities throughout the day to allow for adequate rest and recovery.
Choice C reason: Encouraging and praising the client's efforts to carry out activities of daily living is essential for promoting their independence and self-esteem. Positive reinforcement helps motivate the client and reinforces their ability to manage daily tasks despite their condition.
Choice D reason: Assisting with all daily living activities can lead to dependence and a decrease in the client's confidence and autonomy. The goal is to support the client in maintaining as much independence as possible, providing assistance only when necessary.
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