The nurse observes a client with Parkinson disease having difficulty controlling hand movements. What did the nurse observe in this client?
Standard Text: Select all that apply.
1. Pill rolling
2. Tremor
3. Stooped posture
4. Lack of arm swing
5. Difficulty bending the arms
Correct Answer: 1,2
Rationale 1: Pill rolling is a common behavior in progressive Parkinson disease in which the client rubs the thumb and forefinger together in a circular motion resembling the motion of rolling a tablet between two fingers.
Rationale 2: The hands develop a palsy-like continuous motion or shaking when at rest.
Rationale 3: A stooped posture would not influence the client's ability to control hand movements.
Rationale 4: A lack of arm swing does not influence the client's ability to control hand movements.
Rationale 5: Difficulty bending the arms does not influence the client's ability to control hand movements.
Global Rationale: Pill rolling is a common behavior in progressive Parkinson disease in which the client rubs the thumb and forefinger together in a circular motion resembling the motion of rolling a tablet between two fingers. The hands may also develop a palsy-like continuous motion or shaking when at rest when diagnosed with Parkinson disease. A stooped posture, a lack of arm swing, and difficulty bending the arms would not influence the client's ability to control hand movements.
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