The nurse is interviewing a client who tells the nurse of ...

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The nurse is interviewing a client who tells the nurse of experiencing decreased sensation on the left side of the body. After confirmation of this subjective data, which term will the nurse use when documenting this finding in the medical record?
 
  1. Anesthesia.
  2. Analgesia.
  3. Hypalgesia.
  4. Hypoesthesia.

Question 2

The nurse is admitting a client with suspected meningitis. During the assessment, the nurse asks the client to flex the chin down toward the chest. The client verbalizes pain and stiffness during this action.
 
  How will the nurse document this finding in the medical record?
  1. Muscle spasms.
  2. Neck strain.
  3. Nuchal rigidity.
  4. Brudzinski's sign.

[cadimas]

Answer to Question 1

Correct Answer: 4
Hypoesthesia is a decreased, but not absent, sensation. Anesthesia is the inability to perceive the sense of touch. Analgesia is the absence of painful stimuli, while hypalgesia is a decreased pain sensation.

Answer to Question 2

Correct Answer: 3
Nuchal rigidity occurs with meningeal irritation, which will cause pain and neck stiffness. The presence of muscle spasms are not associated with meningitis and are not elicited in this manner. Neck strain is not associated with meningitis. The assessment of neck strain would not involve having the client flex the chin toward the chest. Brudzinski's sign is assessed in clients suspected of having meningitis. The sign is present when neck flexion causes flexion of the legs and thighs.

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TYSM

[kswal303]

Gracias!