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.
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Naxlex Comprehensive Predictor Exams
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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.
Correct Answer is C
Explanation
A. An inverted P wave is not a classic sign of hypokalemia. It can occur due to various other reasons, including atrial abnormalities.
B. An elevated ST segment is more indicative of hyperkalemia or ischemic changes rather than hypokalemia.
C. An abnormally prominent U wave is a common sign of hypokalemia. Hypokalemia can cause changes in the EKG, including the presence of a prominent U wave following the T wave.
D. A wide QRS complex is typically associated with hyperkalemia or bundle branch blocks, not hypokalemia.
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