How should the nurse document the finding of pain, numbness, and tingling sensations in the lower legs?

Acute pain.

Neuropathic pain.

Visceral pain.

Nociceptive pain.

Answer and Explanation

The Correct Answer is B

The symptoms of pain, numbness, and tingling sensations in the lower legs are consistent with neuropathic pain.

Neuropathic pain is a complex type of pain initiated or caused by a primary lesion or dysfunction in the nervous system1.

Therefore, the nurse should document the finding as neuropathic pain.

Choice A is not correct because acute pain is a general term that does not specify the type of pain experienced by the patient.

Choice C is not correct because visceral pain refers to pain that originates from internal organs.

Choice D is not correct because nociceptive pain refers to pain caused by tissue damage or injury.

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Correct Answer is B

Explanation

Hyperkalemia is a condition where there is an elevated level of potassium in the blood.

It can occur in patients with renal disease due to the kidneys’ reduced ability to excrete potassium.

Treatment-related side effects, such as certain medications or chemotherapy, can also contribute to hyperkalemia by altering potassium levels in the body1.

Hyperkalemia can lead to life-threatening cardiac conduction disturbances2.

Therefore, it is important for the nurse to determine the apical pulse rate and rhythm.

Choice A is not correct because comparing muscle strength bilaterally is not the most important intervention for a client with a serum potassium level of 7.5 mEq/L (7.5 mmol/L).

Choice C is not correct because measuring color and amount of urine is not the most important intervention for a client with a serum potassium level of 7.5 mEq/L (7.5 mmol/L).

Choice D is not correct because assessing strength of deep tendon reflexes is not the most important intervention for a client with a serum potassium level of 7.5 mEq/L (7.5 mmol/L).

A. Reinsert the peripheral IV catheter. B. Verify that the restraints can be quickly released. C. Assess capillary refill distal to the restraints. D. Replace the nasogastric tube.

Correct Answer is C

Explanation

When checking the restraints, the most important action for the nurse to take is to assess capillary refill distal to the restraints.

This helps to ensure that the restraints are not too tight and that blood flow to the extremities is not compromised.

Choice A, reinserting the peripheral IV catheter, may be necessary but is not the most important action in this situation.

Choice B, verifying that the restraints can be quickly released, is important for safety but does not directly address the client’s physical well-being.

Choice D, replacing the nasogastric tube, may also be necessary but is not the most important action in this situation.

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How should the nurse document the finding of pain, numbness, and tingling sensations in the lower legs?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

When using a client with a serum potassium level of 7.5 mEq/L (7.5 mmol/L), which intervention is most important for the nurse to implement?

Correct Answer is B

Explanation

After a long bed rest, a client with a Foley catheter and wrist restraints has repeatedly removed the antibiotic (G) tube and NG tube. At checking the restraints, which action is most important for the nurse to take?

Correct Answer is C

Explanation

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