Medical Surgical Parkinson’s Disease PD #1


An elderly client is being assessed in the clinic. The client voices concern that Parkinson’s disease may be happening. What assessment will the nurse determine to be one of the first signs of onset of Parkinson’s disease?


  1. Resting Tremor.
    • Rationale:

      This answer is correct because tremor is one of the first signs of Parkinson’s disease. Clients may notice tremors first since they might occur at rest; however, some may be manageable and minimal.

  2. Cogwheel Rigidity.
    • Rationale:

      This answer is not correct because this is the second sign of Parkinson’s disease. Cogwheel rigidity is jerky movements of muscles.

  3. Akinesia.
    • Rationale:

      This answer is not correct because askinesia is the last sign of PD. Akinesia refers to loss of voluntary movement.

  4. Bradykinesia.
    • Rationale:

      This answer is not correct because bradykinesia is a later sign of PD. Bradykinesia is a slow voluntary movement.


Parkinson’s disease (PD) is a neurological disorder that affects the central nervous system. The first sign of Parkinson’s disease is a resting tremor.


Learning Outcomes

PD is a neurodegenerative disease that progresses into loss of voluntary muscle movement. Symptoms include resting tremor, blank facial expression, difficulty speaking, shuffling gait, bradykinesia and eventually, akinesia. Assessing neurological status is the main intervention to check which muscles are involved. Promoting safety measures to protect clients from injuries such as falling and/or choking. Collaboration of care with physical therapy and rehabilitation is also important in the management of PD. Medications include carbidopa-levodopa to enhance dopamine and anticholinergics for tremors.

Test Taking Tip

Being aware of early symptoms of a disease process helps the client be able to receive treatment as quickly as possible and slow down the progression of a disease.

Video Rationale