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

Answer and Explanation

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.

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Correct Answer is D

Explanation

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.

A. abdominal distention B. visible peristalsis C. hypoactive bowel sounds D. occasional diarrhea E. flatus

Correct Answer is ["A"]

Explanation

A. Abdominal distention can occur due to gas accumulation from undigested lactose.
B. Visible peristalsis is not typically a specific clinical finding associated with lactose intolerance.
C. Hypoactive bowel sounds are not commonly associated with lactose intolerance.
D. Occasional diarrhea is a common symptom due to the inability to digest lactose properly.
E. Flatus or excessive gas production is a common symptom due to the fermentation of undigested lactose by intestinal bacteria.

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Naxlex Comprehensive Predictor Exams

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?

Correct Answer is D

Explanation

A nurse is assessing a client who has lactose intolerance. Which of the following will the nurse recognize as clinical findings associated with lactose intolerance? Select all that apply:

Correct Answer is ["A"]

Explanation

A nurse is assessing a client's cranial nerves as part of a neurological examination. Which of the following actions should the nurse take to assess cranial nerve III?

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