The nurse is assessing a client who reports an abnormal sensation of burning or tingling in extremities. Which of the following should the nurse document in the client's record?

paralysis.

hemiparesis.

paraphasia.

paresthesia.

Answer and Explanation

The Correct Answer is D

A.   Paralysis refers to the loss of muscle function in part of your body.
B.   Hemiparesis is weakness on one side of the body.
C.   Paraphasia is a language disorder where words get jumbled and sentences don't make sense.
D.   Paresthesia is an abnormal sensation like tingling, burning, or numbness in the extremities often associated with nerve-related issues.

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Correct Answer is B

Explanation

A. A capillary refill of less than 5 seconds is considered normal.
B. Radial pulses 2+ with regular rate and rhythm bilaterally indicate good peripheral circulation.
C. Feet that are pale and cool to the touch could indicate decreased perfusion or vascular compromise.
D. Right ankle 1+ edema may suggest some fluid retention but no perceptible swelling of the leg indicates relatively normal findings in that area.

A. Client reports taking an iron supplement B. Client has dry heaves C. The client reports eating red meat prior to the assessment D. Client reports loss of appetite

Correct Answer is C

Explanation

A. Iron supplements typically lead to darker stools but may not necessarily present as a non-tarry black stool.
B. Dry heaves or vomiting could potentially indicate upper gastrointestinal bleeding but not specifically correlate with non-tarry black stool.
C. Consuming red meat can cause black stools due to its breakdown products, which is a normal finding.
D. Loss of appetite doesn't directly relate to stool color or consistency.

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The nurse is assessing a client who reports an abnormal sensation of burning or tingling in extremities. Which of the following should the nurse document in the client's record?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Explanation

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