The nurse is assessing the client's neurologic system. The nurse tests the client's ability to perform stereognosis. Which of the following activities will accurately test this?
1. The nurse places a vibrating tuning fork over the client's ankle and asks the client to indicate when the vibration can no longer be felt.
2. The nurse asks the client to close her eyes and writes the number 7 in the client's palm with the base of the nurse's pen. The nurse asks the client to identify what was written.
3. The nurse asks the client to close her eyes and places a pen in the client's hand. The nurse asks the client to name the object in her hand.
4. The nurse asks the client to close her eyes and indicate where the nurse is touching the client.
3
Rationale 1: Vibratory sense is the test to identify if the client can perceive vibration. The inability to perceive vibration may indicate neuropathy.
Rationale 2: Graphesthesia is the ability to perceive writing on the skin. The inability to perceive a number on the skin may indicate cortical disease.
Rationale 3: Stereognosis is the ability to identify an object without seeing it. The inability to identify a familiar object could indicate cortical disease.
Rationale 4: Topognosis is the ability of the client to identify an area of the body that has been touched. The inability of the client to identify a touched area demonstrates sensory or cortical disease.
You might also like to view...
A woman suffering from severe vasomotor menopausal symptoms wants to use complementary or alternative therapies instead of hormone therapy. What advice by the nurse is best?
A. "Acupuncture has been shown to work better than other body therapies." B. "Herbs are a great option as they do not typically have side effects." C. "Mind-body, manipulative, or traditional Chinese medicine are safer than herbs." D. "Research shows that black cohosh significantly reduces hot flashes."
The perinatal nurse is teaching the student nurse how to administer fentanyl citrate (Sublimaze) intravenously to a laboring woman. The most appropriate method to give this medication is:
Select all answers that apply: A) Slowly B) Over a three minute interval C) During a contraction D) Between contractions
Which of the following contributes to protein digestion?
1. Amylase and maltase 2. Bile and lipase 3. Pepsin and trypsin 4. Secretin and lactase
A neonatal nurse teaches students how to recognize gastrointestinal disorders in infants. The nurse tells the students that failure of the newborn to pass meconium in the first 24 hours after birth may indicate what disease?
What will be an ideal response?