How would the nurse instruct a patient with Parkinson disease to ...

[PhilipSeeMore]

How would the nurse instruct a patient with Parkinson disease to improve activity level?
 
  a. To use a soft mattress to relax the spine
  b. To walk with a shuffling gait to avoid tripping
  c. To walk with hands clasped behind back to help balance
  d. To sit in hard chair with arms for posture control

Question 2

The newly admitted patient to the emergency room after a motorcycle accident has serosanguineous drainage coming from the nose. What is the most appropriate nursing response to this assessment?
 
  a. Cleanse nose with a soft cotton-tipped swab
  b. Gently suction the nasal cavity
  c. Gently wipe nose with absorbent gauze
  d. Ask patient to blow his nose

[ktidd]

Answer to Question 1

ANS: C
The patient with Parkinson disease can improve the activity level by sleeping on a firm mattress without a pillow to prevent spinal curvature, hold hands clasped behind to keep better balance, and keep the arms from hanging stiffly at the side. Walk with a lifting of the feet to avoid tripping and freezing.

Answer to Question 2

ANS: C
The patient's ear and nose are checked carefully for signs of blood and serous drainage, which indicate that the meninges are torn and spinal fluid is escaping. No attempt should be made to clean out the orifice or to blow the nose. The drainage can be wiped away. The drainage can be tested for the presence of glucose, which would confirm that the fluid is spinal fluid and not mucus.

[PhilipSeeMore]

TYSM

[Liddy]

Excellent