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 D
Explanation
A. Frothy pink drainage is more characteristic of recent or active bleeding rather than an upper gastrointestinal bleed.
B. Greenish-yellow drainage typically indicates bile or gastric secretions rather than blood.
C. Dark amber drainage might suggest older, degraded blood but is less specific to an active upper GI bleed.
D. Coffee-ground drainage is indicative of older, partially digested blood and is expected in cases of upper gastrointestinal bleeding due to the breakdown of blood in the stomach.
Correct Answer is C
Explanation
A. Hirsutism is more commonly associated with Cushing's syndrome due to excess androgen production. Addison's disease, on the other hand, involves insufficient production of adrenal hormones.
B. Purple striations, or striae, are a characteristic finding in Cushing's syndrome as a result of prolonged exposure to high levels of cortisol, not typically seen in Addison's disease.
C. Hyperpigmentation, particularly in areas exposed to friction or sun, is a hallmark of Addison's disease. This occurs due to increased levels of ACTH, which also stimulates melanocytes.
D. Intention tremors are typically associated with neurological disorders such as multiple sclerosis, and are not a characteristic finding in Addison's disease.
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