Patho Patho #58

Question

The nurse caring for a client with Parkinson’s disease places priority on:

Answers

  1. pain rating.
    • Rationale:

      This answer choice is not correct because safety is a higher priority than pain. Pain is considered a psychosocial need according to NCLEX.

  2. capillary refill time.
    • Rationale:

      This answer choice is not correct because safety is a higher priority than capillary refill time. While capillary refill time may provide a degree of information regarding hydration/ circulatory status, safety is a higher priority for Parkinson clients.

  3. skin temperature.
    • Rationale:

      This answer choice is not correct because safety is a higher priority for Parkinson clients than skin temperature.

  4. safety.
    • Rationale:

      This answer is correct because safety is a high priority for Parkinson clients as they are at high risk for falls.

Overview

The focus of this question is asking the nurse to identify the priority assessment for a client with Parkinson disease. Clients with Parkinson are very high fall risks and the nurse should always prioritize safety with these clients. In the hospital these clients will be placed with high fall precautions.

Explanation

Learning Outcomes

Parkinson disease is a chronic, progressive neurological disorder which results from a decrease in the inhibitory hormone, dopamine, Characteristics of Parkinson disease include a shuffling gait, cogwheel rigidity, and a pill-rolling tremor. Parkinson disease significantly affects a client’s ability to balance and the nurse should place priority on safety with these clients.

Test Taking Tip

If there are no answer choices that address A-B-C, then look for answer choices that address safety. Use Maslow’s hierarchy of needs to help guide you towards the correct answer after analyzing the answer choices for A-B-C.

Video Rationale