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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
A. This component refers to what triggered the pain or any factors that may have contributed to its onset. For example, a nurse might ask if the pain started after eating, exercising, or any other activity. This does not apply to the nurse asking about the quality of the pain.
B. This involves identifying the location of the pain. The nurse would ask the client where the pain is situated (e.g., upper abdomen, lower abdomen, etc.). While important, this is not what the nurse is asking when they inquire about the nature of the pain.
C. This component focuses on describing the nature of the pain itself. The nurse is asking the client to describe what the pain feels like, such as whether it is sharp, dull, throbbing, burning, or cramping. This is the correct choice in this scenario.
D. This refers to how intense the pain is, often measured on a scale (e.g., 0 to 10). The nurse would ask the client to rate their pain intensity. While this is an important aspect of pain assessment, it does not pertain to describing what the pain feels like.
Correct Answer is D
Explanation
A. This is too hot and can scald the client's skin. The recommended water temperature for bathing is around 37-40°C (98.6-104°F).
B. Bath oil can make the bathtub surface slippery, increasing the risk of falls.
C. While it's important to avoid prolonged exposure to hot water, limiting bath time to 20 minutes is not the primary concern for safety in this situation.
D. This is the most important safety measure to prevent falls, especially for a client with a lower extremity amputation who may have balance difficulties.
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