A client with Parkinson disease (PD) ambulates with a shuffling gait and leans slightly forward. When seated, the client conducts a conversation, reads, and is able to self-feed without assistance
Which diagnosis is a priority for this client?
A) Ineffective Coping
B) Impaired Physical Mobility
C) Imbalanced Nutrition: More than Body Requirements
D) Anxiety
Answer: B
The client demonstrates a shuffled gait with forward leaning when ambulating. When seated, the client is able to converse, read, and self-feed. Of the diagnoses listed, the one with the highest priority would be Impaired Physical Mobility. Imbalanced Nutrition would not be a priority, as the client can feed himself. There is no evidence to support the diagnoses of Ineffective Coping and Anxiety at this time.
You might also like to view...
Which statements by a hospital executive reflect power-coercive strategies to implement change? Note: Credit will be given only if all correct choices and no incorrect choices are selected. Standard Text: Select all that apply
1. "We must follow the federal guidelines in the way we bill for our services." 2. "If we don't reduce our nosocomial infection rate, Medicare won't reimburse us." 3. "Administration has to make this change or our accreditation status will be at risk." 4. "This change is the only logical action we can take." 5. "All our sister institutions in the association have already made this change."
A client has been cleaning window screens for the past 2 days and has now developed sneezing; thin, watery nasal discharge; and redness and itching of the eyes. Which type of allergic reaction should the nurse suspect?
a. allergic rhinitis c. animal dander hypersensitivity b. anaphylaxis d. contact dermatitis
The parents of a child born with a genetic disorder ask the nurse why the child's heart was affected instead of some other organ. How should the nurse respond?
1. "Not all the DNA code is active in all the cells of the body. The DNA changes were expressed in the cells of your child's heart, but not in other body cells." 2. "We don't know why that happens." 3. "The heart is an essential organ, so it is often affected most dramatically." 4. "Heart cells contain more DNA than other body cells."
The nurse is conscientious in the care of the feet and legs of a patient with sickle cell anemia because:
a. stasis ulcers are a constant threat. b. bleeding may occur on the soles of the feet. c. edema of the feet increases activity into-lerance. d. toenails must be kept short to avoid in-grown nails.