The nurse wants to determine if a patient is experiencing ...

[WWatsford]

The nurse wants to determine if a patient is experiencing tremors. When performing this assessment, for what should the nurse observe?
 
  1. shaking
  2. jerky movements
  3. rhythmic movements
  4. fasciculations

Question 2

Normally a patient can differentiate between soft and sharp and can feel vibrations accurately. What should the nurse do to assess a patient's sensory function?
 
  1. touch both sides of various parts of the body with a sharp and a dull object
  2. have the patient distinguish which parts of the body are being touched
  3. ask the patient to identify two areas of simultaneous pinpricks on the hand
  4. write a number on the patient's hand and have him or her identify the number

[cloudre37]

Answer to Question 1

Correct Answer: 3
Tremors are rhythmic movements that can be seen with activity or at rest. The type of tremors observed is linked to specific disease processes. Fasciculations are twitching, irregular movements associated with motor neuron disease. Jerky movements would be descriptive of cogwheel rigidity associated with Parkinson disease. Shaking is a term associated with generalized response to stressors such as cold.

Answer to Question 2

Correct Answer: 1
Sensory function is best evaluated by touching both sides of various parts of the body with a sharp and a dull object. Asking the patient to distinguish parts of the body being touched assesses for localization. Asking the patient to identify two areas of simultaneous pinpricks on the hand assesses for two-point discrimination. Writing a number on the patient's hand and asking him or her identify the number tests for graphesthesia.

[WWatsford]

Gracias!

[xthemafja]

TYSM