The nurse is aware that the characteristic gait of the person with Parkinson disease is a propulsive gait, which causes the patient to:
a. stagger and need support of a walker.
b. shuffle with arms flexed.
c. fall over to one wide when walking.
d. take small steps balanced on the toes.
ANS: B
The propulsive gait causes the patient to shuffle with his arms flexed and with a loss of postural reflexes.
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A nurse is caring for a patient who is taking lithium for mania. The nurse's assessment includes a notation of a lithium serum level of 2.4 mEq/L. The nurse anticipates seeing what?
A) Fine tremors of both hands B) Slurred speech C) Clonic movements D) Nausea and vomiting
A client with chronic pancreatitis is prescribed enteral nutritional supplements with a polymeric formula. For which reason should the nurse question this prescription?
a. Isotonic formulas can cause diarrhea and should be avoided b. Modular formulas would better address nutritional requirements c. Clients with chronic pancreatitis require formulas with predigested macronutrients d. Polymeric formulas contain nutrients which are partially digested and easy to absorb
Person, place, and time characterize the description of an epidemiologic problem. Using knowledge of outbreak investigations, which occurs with propagated outbreaks?
A) Same person or vehicle as the reservoir or means of transmission B) Infection transmitted from person to person over a short period of time C) Generating secondary infections with intervals between peaks that approximate the usual incubation period for the infection D) Generating tertiary infections following exposure to a primary case
Ethically, is there a difference between a competent person making a well-thoughtthrough request as opposed to an irrational one?
What will be an ideal response?