The charge nurse is observing a new staff nurse who is assessing a patient with a traumatic spinal cord injury for sensation. Which action indicates a need for further teaching of the new nurse about neurologic assessment?
a. The new nurse tests for light touch before testing for pain.
b. The new nurse has the patient close the eyes during testing.
c. The new nurse asks the patient if the instrument feels sharp.
d. The new nurse uses an irregular pattern to test for intact touch.
ANS: C
When performing a sensory assessment, the nurse should not provide verbal clues. The other actions by the new nurse are appropriate.
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