A previously healthy 68-year-old male presents with progressive muscle weakness in his right hand, swallowing difficulty and difficulty with walking. He believes these symptoms occurred "out of the blue" and have worsened over the last 2-3 months. His temperature is 98.6 deg F (37 deg C), blood pressure 145/86 mmHg, pulse is 80/min, and respirations are 17/min. Neurologic examination is significant for mild dysarthria. He has atrophy of the thenar muscles of the right hand and forearm, and 2/5 strength on wrist extension and flexion, as well as 3/5 power in intrinsic hand muscles on right. He has some fasciculations in his right thigh, and mild (4+/5) weakness of hip flexors bilaterally. Tone is increased in both legs. Sensory examination is intact. 3+ patellar reflexes are noted on the left lower extremity. On gait testing, the patient has poor balance, and spastic gait. Which of the following is the most likely diagnosis?

A previously healthy 68-year-old male presents with progressive muscle weakness in his right hand, swallowing difficulty and difficulty with walking. He believes these symptoms occurred "out of the blue" and have worsened over the last 2-3 months. His temperature is 98.6 deg F (37 deg C), blood pressure 145/86 mmHg, pulse is 80/min, and respirations are 17/min. Neurologic examination is significant for mild dysarthria. He has atrophy of the thenar muscles of the right hand and forearm, and 2/5 strength on wrist extension and flexion, as well as 3/5 power in intrinsic hand muscles on right. He has some fasciculations in his right thigh, and mild (4+/5) weakness of hip flexors bilaterally. Tone is increased in both legs. Sensory examination is intact. 3+ patellar reflexes are noted on the left lower extremity. On gait testing, the patient has poor balance, and spastic gait. Which of the following is the most likely diagnosis?

A client with multiple sclerosis (MS) lives with her daughter and 3-year-old granddaughter. The daughter asks the nurse what she can do at home to help her mother. Which of the following measures would be most beneficial?

A patient with PD is taking carbidopa/levodopa 25/100 mg three times a day, and reports that he tends to slow down 2 hours before his next carbidopa/levodopa dose. This patient is most likely experiencing:

Nurse Johnson is working with Mr. Parker, who is struggling with a resting tremor in his right hand due to Parkinson's disease. Understanding how this symptom can be disruptive, Nurse Johnson offers a practical suggestion to help manage the tremor. What advice should Nurse Johnson give to Mr. Parker?

Nurse Harris is providing lifestyle and safety advice to Mr. Baker, a patient with Parkinson's disease. She wants to ensure that Mr. Baker avoids activities that might exacerbate his symptoms or pose a risk to his health. Which of the following should Nurse Harris advise Mr. Baker to avoid?