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.
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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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A. The basal ganglia are involved in motor control and learning but not specifically in controlling voluntary movement.
B. Motor pathways do not directly synapse in the thalamus; the thalamus serves as a relay station for sensory information.
C. The cerebellum is primarily involved in coordination, balance, and muscle control, not in speech and emotions.
D. The hypothalamus plays a crucial role in regulating body temperature, controlling hunger, thirst, fatigue, and regulating sleep cycles.
Correct Answer is D
Explanation
A. Ability to swallow pureed foods suggests some functional capacity and is not an immediate concern requiring immediate reporting.
B. A mild headache reported by the client might not indicate a critical issue requiring immediate reporting.
C. Weakness can be a concerning symptom, but the severity or extent of weakness needs further clarification before urgent reporting.
D. A Glasgow Coma Scale (GCS) score of 5 is indicative of severe impairment of consciousness, requiring immediate attention and further evaluation by the healthcare provider.
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