A 73-year-old patient with Parkinson's disease has a nursing ...

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A 73-year-old patient with Parkinson's disease has a nursing diagnosis of impaired physical mobility related to bradykinesia. Which action will the nurse include in the plan of care?
 
  a. Instruct the patient in activities that can be done while lying or sitting.
  b. Suggest that the patient rock from side to side to initiate leg movement.
  c. Have the patient take small steps in a straight line directly in front of the feet.
  d. Teach the patient to keep the feet in contact with the floor and slide them forward.

Question 2

A 62-year-old patient who has Parkinson's disease is taking bromocriptine (Parlodel). Which information obtained by the nurse may indicate a need for a decrease in the dose?
 
  a. The patient has a chronic dry cough.
  b. The patient has four loose stools in a day.
  c. The patient develops a deep vein thrombosis.
  d. The patient's blood pressure is 92/52 mm Hg.

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Answer to Question 1

ANS: B
Rocking the body from side to side stimulates balance and improves mobility. The patient will be encouraged to continue exercising because this will maintain functional abilities. Maintaining a wide base of support will help with balance. The patient should lift the feet and avoid a shuffling gait.

Answer to Question 2

ANS: D
Hypotension is an adverse effect of bromocriptine, and the nurse should check with the health care provider before giving the medication. Diarrhea, cough, and deep vein thrombosis are not associated with bromocriptine use.