A nurse is caring for a client who has Parkinson’s disease and is starting to display bradykinesia. Which of the following is an appropriate action by the nurse?
Place the client on a low-protein, low-calorie diet.
Teach the client to walk more quickly when ambulating.
Complete passive range-of-motion exercises daily.
Give the patient extra time to perform activities.
The Correct Answer is D
Choice A reason:
Placing the client on a low-protein, low-calorie diet is not appropriate for managing bradykinesia in Parkinson’s disease. While dietary adjustments may be necessary for overall health, they do not directly address the motor symptoms of Parkinson’s. In fact, protein intake needs to be managed carefully to avoid interference with medication absorption, but a low-calorie diet is not typically recommended.
Choice B reason:
Teaching the client to walk more quickly when ambulating is not advisable for someone with bradykinesia. Parkinson’s disease often causes difficulty with movement initiation and control, and encouraging faster walking could increase the risk of falls. Instead, strategies to improve gait and balance, such as physical therapy, are more appropriate.
Choice C reason:
Completing passive range-of-motion exercises daily can be beneficial for maintaining joint flexibility and preventing stiffness. However, this action alone does not specifically address bradykinesia, which is characterized by slowness of movement. Active exercises and physical therapy are more effective in managing bradykinesia.
Choice D reason:
Giving the patient extra time to perform activities is crucial for managing bradykinesia. Clients with Parkinson’s disease often need more time to complete tasks due to the slowness of movement. Allowing extra time helps reduce frustration and promotes independence, making it an essential part of care.
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View Related questions
Correct Answer is C
Explanation
Choice A reason:
Administering an antipyretic can help reduce fever, which is a common symptom of meningococcal meningitis. However, this action does not address the immediate need to assess the extent of neurological impairment. While fever management is important, it is not the first priority in this situation.
Choice B reason:
Completing a vascular assessment is important to evaluate the client’s circulatory status, especially if there are signs of septicemia. However, in the context of suspected meningococcal meningitis, the priority is to assess the neurological status to determine the extent of central nervous system involvement. This will guide further treatment and interventions.
Choice C reason:
Assessing the cranial nerves is crucial in a client with suspected meningococcal meningitis. This assessment helps determine the extent of neurological impairment and can provide critical information about the progression of the disease. Early identification of neurological deficits can guide immediate and appropriate interventions to prevent further complications.
Choice D reason:
Decreasing environmental stimuli can help reduce discomfort for the client, especially if they are experiencing photophobia or other sensory sensitivities. However, this action does not address the immediate need to assess the client’s neurological status. It is a supportive measure that can be implemented after more critical assessments are completed.
Correct Answer is B
Explanation
Choice A reason:
Organizing an influenza immunization campaign is an example of primary prevention, which aims to prevent the onset of illness or injury before it occurs. Secondary prevention focuses on early detection and intervention to prevent the progression of disease or injury.
Choice B reason:
Helping plant workers identify signs of carpal tunnel syndrome is a secondary prevention strategy. It involves early detection of symptoms and providing education on how to manage and seek treatment for the condition. Early intervention can prevent the progression of carpal tunnel syndrome and reduce the risk of long-term complications.
Choice C reason:
Teaching plant workers about proper lifting techniques is an example of primary prevention. It aims to prevent injuries by educating workers on safe practices. While important, it does not fall under secondary prevention, which focuses on early detection and intervention.
Choice D reason:
Collaborating with a physical therapist to develop programs for injured employees to return to work is an example of tertiary prevention. Tertiary prevention focuses on rehabilitation and managing long-term health conditions to improve quality of life and prevent further complications.