The nurse is assessing a patient with a suspected stroke. What assessment finding is most suggestive of a stroke?

Choice A rationale

Venous thromboembolism (VTE) is a serious complication that can occur in comatose patients. Immobility is a major risk factor for VTE, and comatose patients are often immobile. Therefore, nurses should be vigilant for signs of VTE, such as swelling, pain, or redness in the extremities.
Choice B rationale
Hemorrhage is not typically a direct complication of coma. However, the underlying cause of the coma, such as a traumatic brain injury, could potentially lead to hemorrhage.
Choice C rationale
Contractures, or the shortening and hardening of muscles, tendons, or other tissue, can occur in comatose patients due to prolonged immobility. Regular movement and physiotherapy can help prevent this complication.
Choice D rationale
Pressure ulcers, also known as bedsores, are a common complication in comatose patients. They occur when there is prolonged pressure on the skin, usually over bony areas. Regular turning and good skin care can help prevent pressure ulcers.
Choice E rationale
Pneumonia is a common complication in comatose patients, often resulting from aspiration (inhaling food, stomach acid, or saliva into the lungs)2. Nurses should be vigilant for signs of pneumonia, such as fever, cough, and difficulty breathing.

Choice A rationale
Slowing of activity, also known as bradykinesia, is a common symptom of Parkinson’s disease. It is characterized by a general reduction in the speed and amplitude of voluntary movements, leading to difficulties with tasks such as walking, talking, and performing other self-care activities.
Choice B rationale
Muscle flaccidity is not typically associated with Parkinson’s disease. Instead, people with Parkinson’s often experience muscle rigidity or stiffness.
Choice C rationale
A gait with the body leaning backward is not a typical symptom of Parkinson’s disease. People with Parkinson’s disease often have a stooped posture, with the body leaning forward.
Choice D rationale
Continuous tremors are a hallmark symptom of Parkinson’s disease, but they are not present in all cases. Tremors in Parkinson’s disease are often described as a “pill-rolling” tremor because the movement resembles the motion of trying to roll a pill between the thumb and index finger.