A client with Parkinson's disease (PD) is admitted to the medical surgical unit and the nurse assesses the client's mobility needs. Which finding(s) indicate the need to plan interventions related to the client's mobility? Select all that apply.
Explanation & Rationale
A. Bradykinesia: This hallmark feature of Parkinson’s disease involves slowed movement, which affects initiation and execution of motor tasks, increasing fall risk and requiring mobility support. B. Muscular rigidity: Muscle stiffness limits range of motion and fluidity of movement, making daily activities more difficult and potentially painful, necessitating mobility interventions. C. Orthostatic hypotension: A common autonomic symptom in PD, it increases the risk of dizziness and falls upon standing, requiring close monitoring and safety precautions. D. Stooped posture: This postural abnormality affects balance and gait mechanics, contributing to fall risk and mobility challenges, thus requiring targeted support. E. Shuffling, propulsive gait: This classic PD gait pattern reduces step length and balance control, greatly increasing the risk of falls and the need for assistive devices or therapy.