A nurse is caring for a client who has chemotherapy-induced peripheral neuropathy. The nurse should expect the client to report having experienced which of the following symptoms?
Jerking movements of the extremities
Extremities that turned blue when exposed to cold
Spasms of the extremities
Tingling feeling in the extremities
The Correct Answer is D
A. Jerking movements of the extremities are not typical of chemotherapy-induced peripheral neuropathy. These movements could indicate other neurological disorders, such as tremors or dyskinesia.
B. Extremities turning blue when exposed to cold suggests a vascular issue, such as Raynaud's phenomenon, rather than neuropathy. Chemotherapy-induced peripheral neuropathy primarily affects sensation and not blood flow.
C. Spasms of the extremities are more indicative of muscle or electrolyte imbalances rather than neuropathy. Peripheral neuropathy typically causes sensory symptoms like tingling or numbness rather than muscle spasms.
D. Tingling or a burning sensation in the extremities, known as paresthesia, is a common symptom of chemotherapy-induced peripheral neuropathy. This condition affects the sensory nerves and can lead to these types of sensations.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
A. Verbalizing steps is important for understanding but does not demonstrate the ability to perform the procedure.
B. Attending a class is beneficial for learning, but it does not confirm the partner’s practical competence.
C. Performing the procedure independently indicates that the partner can effectively manage suctioning without supervision, demonstrating readiness for discharge.
D. Asking questions is a sign of engagement but does not show practical readiness.
Correct Answer is A
Explanation
A. Chvostek's sign is a test for tetany, which is associated with hypocalcemia. The tingling sensation reported by the client is indicative of low calcium levels, and Chvostek's sign involves tapping the facial nerve to see if it triggers facial twitching, which is a sign of hypocalcemia.
B. Kernig's sign is used to assess for meningitis and is not related to hypocalcemia. It involves checking for resistance or pain when extending the leg while the hip is flexed.
C. Babinski's sign is used to assess for neurological conditions and is not related to hypocalcemia. It involves stroking the sole of the foot to check for abnormal reflex responses.
D. Brudzinski's sign is used to assess for meningitis and involves checking for involuntary flexion of the knees and hips when the neck is flexed. It is not related to the symptoms of hypocalcemia.
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