During the assessment of an 80-year-old patient, the nurse notices that his hands show tremors when he reaches for something and his head is always nodding. No associated rigidity is observed with movement. Which of these statements is most accurate?

a. These findings are normal, resulting from aging.
b. These findings could be related to hyperthyroidism.
c. These findings are the result of Parkinson disease.
d. This patient should be evaluated for a cerebellar lesion.


ANS: A
Senile tremors occasionally occur. These benign tremors include an intention tremor of the hands, head nodding (as if saying yes or no), and tongue protrusion. Tremors associated with Parkinson disease include rigidity, slowness, and a weakness of voluntary movement. The other responses are incorrect.

Nursing

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