A client is admitted to the emergency room for neck pain. The client describes the pain in the neck started one day ago and feels like it is "frozen". They also complain of inability to turn their head. What does the nurse suspect?
1.Multiple sclerosis
2. Muscle spasm
3. Spasticity
4. Alzheimer disease
2
Rationale 1: These symptoms are not related to MS, which is fatigue, heat sensitivity, neuropathic pain, spasticity, impaired cognitive ability, disruption of balance and coordination, bowel and bladder symptoms, sexual dysfunction, dizziness, vertigo, visual impairment, and slurred speech.
Rationale 2: Muscle spasms are involuntary contraction of a muscle or groups of muscles. The client may complain of inflammation, edema, and pain at the affected muscle, loss of coordination, and reduced mobility. When a muscle goes into spasm, it freezes in a contracted state.
Rationale 3: Spasticity is when muscle groups remain in a continuous state of contraction. Signs and symptoms include mild to severe pain, exaggerated deep tendon reflexes, muscle spasms, scissoring or involuntary crossing of the legs, and fixed joints.
Rationale 4:Alzheimer disease affects memory, thinking, and behavior.
Global Rationale: Muscle spasms are a common condition usually associated with overuse of and local injury to the skeletal muscle. Clients with muscle spasms may experience inflammation, edema, and pain at the affected muscle, loss of coordination, and reduced mobility. When a muscle goes into spasm, it freezes in a contracted state.
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