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    Ati adn 180 med surg proctored exam (mobilityneurosensory)

    A nurse is providing teaching to the family of a client who has Parkinson's disease. Which of the following information should the nurse include in the teaching?

    Explanation & Rationale

    A. Limit liquid consumption: Restricting fluids is not generally recommended for clients with Parkinson’s disease, as adequate hydration is important to prevent constipation, urinary tract infections, and orthostatic hypotension. Limiting liquids can worsen these complications rather than support safe care. B. Speak loudly and slowly to the client: Effective communication strategies for clients with Parkinson’s disease include speaking clearly and at a normal pace. However, speaking slowly and loudly without consideration of clarity may not enhance comprehension. The emphasis is on adapting to the client’s speech difficulties rather than rigidly changing tone or pace. C. Provide client supervision: Parkinson’s disease often impairs balance, coordination, and gait due to tremors, rigidity, and postural instability. Supervision is essential to prevent falls, ensure safe ambulation, and assist with daily activities as needed. This intervention directly addresses safety risks associated with the disease and supports independence within safe limits. D. Leave the television on for stimulation: Continuous background noise from a television can be distracting and may increase confusion, particularly in older adults with Parkinson’s disease who may have cognitive changes. Sensory stimulation should be purposeful and structured rather than constant, to prevent agitation or sensory overload.

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