A client with Parkinson's disease is demonstrating a shuffling ...

[s.tung]

A client with Parkinson's disease is demonstrating a shuffling gait with a tendency to lean forward. When seated, the client conducts a conversation, reads, and is able to self feed without assistance.
 
  When determining care for this client, the nursing diagnosis with the highest priority would be: 1. Imbalanced Nutrition: More than Body Requirements
   2. Ineffective Coping
   3. Anxiety
   4. Impaired Physical Mobility

Question 2

Which statement is not true about pain?
 
  a. There are two known endogenous analgesia systems in humans.
  b. Transmission of visceral pain impulses is faster than for impulses from cutaneous pain.
  c. Internal organs are very sensitive to disten-sion.
  d. Ischemic pain onsets rapidly in an active muscle.

[cuttiesgirl16]

Answer to Question 1

4. Impaired Physical Mobility

Rationale:
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 since the client can self feed. There is no evidence to support the diagnoses of ineffective coping or anxiety at this time.

Answer to Question 2

B
There are two known endogenous analgesia systems in humans. Visceral pain is less localized and more slowly transmitted than is cutaneous pain. Internal organs have extreme sensitivity to distension. Ischemic pain has the most rapid onset in an active muscle and a much slower onset in a passive muscle.

[s.tung]

TY

[cuttiesgirl16]

You're welcome