The nurse is caring for a patient who has had Parkinson's disease for 15 years. What symptoms should the nurse anticipate when assisting with a routine assessment?
a. Cough, fever, and impaired airway clearance
b. Intention tremor, flaccid muscles, and tachykinesia
c. Hemiparesis, tremor of the head, and blurred vision
d. Slow shuffling gait, difficulty swallowing, and pill-rolling tremor
ANS: D
Slow shuffling gait, difficulty swallowing, and pill-rolling tremor are typical of Parkinson's disease. B. Intention tremor is more common with a familial tremor. C. Hemiparesis is most common with stroke or brain injury. A. Cough and fever are signs of respiratory illness.
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