A patient with Parkinson disease freezes while beginning to walk. Which nursing instruction is most helpful?
Correct answer: A. Stop safely, shift weight, and step over an imaginary line
- A. Stop safely, shift weight, and step over an imaginary line
- B. Walk faster immediately to prevent the feet from stopping
- C. Pull the patient forward by the arm to restart movement
- D. Remain completely still until the freezing episode ends
Explanation
Weight shifting and visual or rhythmic cues can help overcome freezing and improve initiation of movement. Pulling the patient can cause loss of balance, while rushing increases the risk of falls.
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About Neurological Nursing
Covers nursing assessment and management of stroke, epilepsy, meningitis, raised intracranial pressure, head injury, spinal cord disorders, Parkinson disease and multiple sclerosis. Key areas include level of consciousness, pupil responses, motor and sensory findings, seizure precautions and distinguishing upper motor neuron from lower motor neuron signs.
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