A nurse is caring for a client who has chemotherapy-induced peripheral neuropathy. The nurse should expect the client to report having experienced which of the following symptoms?
Jerking movements of the extremities
Extremities that turned blue when exposed to cold
Spasms of the extremities
Tingling feeling in the extremities
The Correct Answer is D
A. Jerking movements of the extremities are not typical of chemotherapy-induced peripheral neuropathy. These movements could indicate other neurological disorders, such as tremors or dyskinesia.
B. Extremities turning blue when exposed to cold suggests a vascular issue, such as Raynaud's phenomenon, rather than neuropathy. Chemotherapy-induced peripheral neuropathy primarily affects sensation and not blood flow.
C. Spasms of the extremities are more indicative of muscle or electrolyte imbalances rather than neuropathy. Peripheral neuropathy typically causes sensory symptoms like tingling or numbness rather than muscle spasms.
D. Tingling or a burning sensation in the extremities, known as paresthesia, is a common symptom of chemotherapy-induced peripheral neuropathy. This condition affects the sensory nerves and can lead to these types of sensations.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
A. Urinary output is important but secondary to respiratory concerns in this postoperative context.
B. Arterial blood gases provide valuable information but are less immediate compared to issues directly affecting lung function.
C. Chest tube drainage is critical to monitor for complications such as pneumothorax or hemothorax, which are significant concerns post-thoracotomy and lobectomy.
D. Pain level is important for patient comfort but does not have the immediate impact on recovery compared to chest tube drainage.
Correct Answer is C
Explanation
A. A platelet count of 150,000/mm³ is within the lower end of the normal range and might be monitored but is not the highest priority for intervention in the context of HIV.
B. A positive Western blot test confirms HIV infection but does not provide information on the current immune status or disease progression.
C. A CD4-T-cell count of 180 cells/mm³ indicates significant immunosuppression and is critical as it reflects the progression of HIV and the risk of opportunistic infections. This value is a priority because it directly affects the client’s immune status and potential treatment strategies.
D. A WBC count of 5,000/mm³ is within the normal range and is less critical compared to the CD4-T-cell count, which provides more specific information regarding the client’s HIV status and risk for opportunistic infections.
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