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 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.

A. Rheumatoid factor (RF) B. Erythrocyte sedimentation rate (ESR) C. Antinuclear antibody (ANA) D. White blood cell (WBC) count

Correct Answer is B

Explanation

A. Rheumatoid factor (RF) is a marker for RA but does not directly measure the effectiveness of aspirin therapy.
B. The erythrocyte sedimentation rate (ESR) is a marker of inflammation and can be used to evaluate the effectiveness of anti-inflammatory medications like aspirin in reducing inflammation associated with RA.
C. Antinuclear antibody (ANA) is used to diagnose autoimmune disorders but is not specific to monitoring the effectiveness of RA treatments.
D. The white blood cell (WBC) count is a general marker of infection or inflammation but does not specifically reflect the effectiveness of aspirin in treating RA.

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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?

Nursing Test Bank

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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?