A nurse is collecting data on a client who has peripheral neuropathy. Which of the following findings should the nurse expect?
Increased ability to detect temperature
Burning sensation in feet
Loss of sensation to pressure
Hyperreflexia
The Correct Answer is B
A. Peripheral neuropathy typically results in a decreased ability to detect temperature changes due to nerve damage. Clients often experience reduced sensation or may not feel temperature variations accurately.
B. This is a common symptom of peripheral neuropathy. Many clients report a burning, tingling, or "pins and needles" sensation in their feet. This phenomenon is often associated with nerve damage, especially in conditions like diabetes.
C. Peripheral neuropathy can lead to diminished or altered sensation, including the inability to sense pressure accurately. Clients may not feel pressure on their feet, which increases the risk of injuries and ulcers.
D. Hyperreflexia refers to increased reflex responses, which may occur with upper motor neuron lesions or central nervous system issues, not peripheral nerve damage. Peripheral neuropathy usually results in diminished reflexes or areflexia.
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Related Questions
Correct Answer is C
Explanation
A. This approach can be frustrating for the client and may undermine their confidence and autonomy. It can also prevent the client from expressing themselves fully. Therefore, this is not an appropriate action.
B. Visual aids can enhance understanding and facilitate communication, especially for clients with speech impairments. Avoiding them would limit effective communication.
C. Providing extra time allows the client to process their thoughts and express themselves at their own pace. It shows respect for their communication needs and fosters a more supportive environment.
D. While open-ended questions encourage more detailed responses, they may be challenging for someone with impaired speech. Instead, closed-ended questions or offering choices can be more effective. Open-ended questions could lead to frustration if the client struggles to articulate their responses.
Correct Answer is B
Explanation
A. This is not one of the five rights of delegation. While ensuring that tasks are assigned in the appropriate environment is important, it is not a formal component of delegation principles.
B. This concept is critical in delegation but is not specifically one of the "Five Rights." Effective communication is necessary to ensure that the AP understands the task, its importance, and any specific instructions or expectations.
C. This is not one of the five rights of delegation. However, it does relate to when tasks should be delegated and ensuring that they are completed within a timeframe that is appropriate for patient care. The timing aspect is generally integrated into the context of the task rather than identified as a standalone right.
D. This is also not one of the five rights of delegation. While documentation is essential for maintaining accurate patient records and communication, it does not directly fall under the formal rights of delegation.
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