The nurse is performing a neurological assessment on a client with a history of Diabetes.
When testing the ability to feel the vibrations of a tuning fork, the nurse notices that the client is unable to feel vibrations on the great toe or ankle bilaterally, but is able to feel vibrations on both patellae. What should the nurse suspect from these assessments?
Hyperalgesia
Peripheral neuropathy
Hyperparalysis
Lesion of the sensory cortex
The Correct Answer is B
A. Hyperalgesia refers to increased sensitivity to pain stimuli, not specifically related to the inability to feel vibrations.
B. Peripheral neuropathy, a common complication of diabetes, often leads to sensory deficits, especially in distal extremities like the toes and feet.
C. Hyperparalysis is not a recognized term in neurology.
D. A lesion of the sensory cortex would likely present with broader sensory deficits rather than a specific loss of vibration sensation in the distal lower extremities.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["B"]
Explanation
A. Stress can affect sexual performance, but it's not exclusively an internal factor. Stress can be caused by both internal and external factors.
B. Low testosterone levels are an internal factor that can significantly impact sexual performance in aging males. Testosterone decline is a natural part of aging and can affect libido and sexual function.
C. Substance use can affect sexual performance, but it's not solely an internal cause as it often involves external factors related to the intake of substances.
D. Lack of sleep affects overall health, but it can also be influenced by external factors and is not strictly an internal cause.
E. Chronic diseases such as diabetes, cardiovascular diseases, and others can have internal physiological effects that impact blood flow, nerve function, and overall health, contributing to declines in sexual performance later in life.
Correct Answer is C
Explanation
A. Vas deferens is a duct that transports sperm from the epididymis to the ejaculatory duct but isn't an accessory glandular structure.
B. Scrotum is the sac of skin that houses the testes but isn't an accessory gland.
C. The prostate gland is an accessory glandular structure in males responsible for producing part of the seminal fluid.
D. Testis is the primary male reproductive organ responsible for sperm production but isn't an accessory gland.
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