The nurse is assessing the neurological status of a patient with chronic renal failure. Which of the following is the nurse most likely to assess in this patient?
1. weak hand grasps
2. expressive aphasia
3. flaccid paralysis
4. numbness and pain of the lower extremities
4
Rationale: Neurological symptoms are non-specific and progressive in the patient with CRF. These symptoms include: sleep disorders, memory loss, impaired judgment, muscle cramps, and twitching. These may progress to asterixis, seizures, and coma. Peripheral neuropathy is also a component of chronic renal failure and is evidenced by numbness, tingling, or pain, especially in the lower extremities. Weak hand grasps, expressive aphasia, and flaccid paralysis are not neurological symptoms commonly seen in the patient with chronic renal failure.
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