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