Question

70-year-old client is confined to her bed due to advanced Parkinson's disease. Which nursing diagnosis takes the highest priority for a client with Parkinson's crisis:
1. Postural hypotension
2. Ineffective airway clearance
3. Ineffective urinary elimination
4. Risk of injury

Answer 1

Correct Answer - Option 1 : Postural hypotension

CONCEPT:

• Parkinson's disease is a movement disorder that affects the nervous system. Its symptoms occur because of low dopamine levels in the brain.
• Common symptoms include tremor, slowness of movement, stiff muscles, unsteady walk and balance, and coordination problems. 

EXPLANATION:

• Orthostatic hypotension also called postural hypotension is a form of low blood pressure that happens when you stand up from sitting or lying down.
• Orthostatic hypotension can make you feel dizzy or lightheaded, and maybe even cause you to faint.
• Blood pressure changes due to a sudden drop in blood pressure. Hence, the priority nursing diagnosis is Postural hypotension.