What are the clinical manifestations of PD? Place a star next to the symptoms L.C. has
mentioned.
What will be an ideal response?
• Increased muscle rigidity, jerky "cogwheel" motion*
• Masklike face with blank facial expression
• Inability to blink, "stare"
• Drooling, decreased gag reflex, inability to chew or swallow*
• Unintentional tremor, "pill rolling," which stops with intentional movements*
• General weakness and muscle fatigue*
• Restlessness, compelling need to ambulate
• Loss of postural reflexes: stooped, shuffling gait (called a parkinsonian gait)
• Autonomic manifestations include diaphoresis, seborrhea, postural hypotension, decreased libido,
gastrointestinal (GI) hypomotility, urinary retention
• High-pitched, monotone voice
• Reduced arm swinging on one side of the body when walking
• Micrographia (change in handwriting or handwriting gets smaller)
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A client suspected of having strep throat is in the clinic. The nurse is preparing to collect a throat culture, and should instruct the client to:
1. Brush her teeth before the test. 2. Gargle with mouthwash. 3. Drink water before the test. 4. Open her mouth, stick out her tongue, and say "ah."
What must an LPN/LVN acquiring a signature on a surgical informed consent document ensure?
a. The patient is not sedated. b. The physician is present. c. The family member is a witness. d. The signature is in ink.
During the auscultation of a patient's heart sounds, the nurse hears a murmur of moderate intensity. This finding would be documented as a:
a. Grade I c. Grade III b. Grade II d. Grade IV
The nurse is administering 250 mg of a medication elixir to the patient. The medication comes in a dose of 1000 mg/5 mL. How many milliliters should the nurse administer?
What will be an ideal response?