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

Answer and Explanation

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.

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Correct Answer is D

Explanation

A. Applying restraints should be a last resort and only if less restrictive measures have failed. It is also essential to follow legal and ethical guidelines regarding the use of restraints.

B. Calling the family to stay with the client may provide temporary comfort but does not directly address safety concerns or the underlying cause of restlessness and confusion.

C. Sedating the client might not be appropriate without first assessing the cause of the restlessness and confusion. Medications should be used cautiously and based on a thorough evaluation.

D. Moving the client closer to the nurses' station allows for more frequent monitoring and quick intervention if needed, addressing the immediate safety concern of restlessness and confusion. This measure helps ensure the client’s safety while further assessment and intervention are being planned.

A. Subcutaneous nodules on the ulnar side of the arm. B. Pitting edema of the hands and fingers. C. A grey colored, non-purpuric papular rash. D. A dry, red rash across the bridge of the nose and on the cheeks.

Correct Answer is D

Explanation

A. Subcutaneous nodules are not typically associated with SLE; they are more characteristic of rheumatoid arthritis.
B. Pitting edema of the hands and fingers is more common in conditions such as heart failure or renal disease, rather than SLE.
C. A grey-colored, non-purpuric papular rash is not characteristic of SLE. SLE rashes are usually different in appearance.
D. A dry, red rash across the bridge of the nose and on the cheeks, commonly referred to as a butterfly rash, is a classic manifestation of SLE.

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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?

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