A client with Parkinson disease (PD) ambulates with a shuffling ...

[amal]

A client with Parkinson disease (PD) ambulates with a shuffling gait and leans slightly forward. When seated, the client conducts a conversation, reads, and is able to self-feed without assistance.
 
  Which diagnosis is a priority for this client?
  A) Ineffective Coping
  B) Impaired Physical Mobility
  C) Imbalanced Nutrition: More than Body Requirements
  D) Anxiety

Question 2

The home health nurse is visiting a 3-month-old infant diagnosed with congenital hypothyroidism who has been prescribed a daily dose of thyroxine.
 
  Due to digestive issues, the infant consumes soy formula and is at the 50th percentile for height and weight. Based on this data, which statement by the nurse to the mother is appropriate?
  A) You can stop the thyroxine as long as your baby remains in the 50th percentile for height and weight.
  B) The soy formula can interfere with the absorption of thyroxine.
  C) A dairy-based formula is contraindicated because your baby is prescribed thyroxine.
  D) As long as your baby is growing along the same growth curve, no interventions are necessary.

[xMRAZ]

Answer to Question 1

Answer: B

The client demonstrates a shuffled gait with forward leaning when ambulating. When seated, the client is able to converse, read, and self-feed. Of the diagnoses listed, the one with the highest priority would be Impaired Physical Mobility. Imbalanced Nutrition would not be a priority, as the client can feed himself. There is no evidence to support the diagnoses of Ineffective Coping and Anxiety at this time.

Answer to Question 2

Answer: B

Soybeans may block thyroid hormone synthesis if consumed in sufficient quantities, which could occur in babies who are given soy-based formula. Dairy-based formula does not interfere with thyroxine. Frequent checks must be done to assess the baby for inadequate growth. To ensure adequate growth and development, the hormone must be taken throughout life.