In assessing pain discrimination, the client has correctly identified, with eyes closed, a sharp sensation on the right hand when touched with a pin. How should the nurse then proceed with the examination?

A. Touch the pinpoint on the same area of the left hand.
B. Touch the pinpoint on the right forearm.
C. Touch the pinpoint on the right upper arm.
D. Touch the right hand with a drop of cold water.


A
If testing is begun on the hand and the client correctly identifies the pain stimulus, there is no need to test more proximal parts of that extremity because, if the distal tract is intact, so are the proximal areas. Temperature discrimination is not necessary because the same tract transmits both pain and temperature sensation.

Nursing

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