Peripheral Nervous System Disorders: Peripheral neuropathy; Radiculopathy; Charcot-Marie-Tooth disease

Peripheral Nervous System Disorders: Peripheral neuropathy; Radiculopathy; Charcot-Marie-Tooth disease ( 5 Questions)

A nurse is performing a physical examination on a client who has radiculopathy due to cervical spine degeneration. Which of the following tests should the nurse use to assess the client's condition?


Correct Answer: A

Choice A reason:

This is a correct answer. Spurling's test is a physical examination maneuver that involves extending, rotating, and laterally flexing the client's neck to the affected side and applying downward pressure on the head. A positive test is indicated by pain or paresthesia radiating from the neck to the shoulder or arm on the same side, which suggests nerve root compression or irritation by cervical spine degeneration.

Choice B reason:

This is an incorrect answer. Romberg's test is a physical examination maneuver that involves asking the client to stand with their feet together and eyes closed for 20 seconds while observing for balance and sway. A positive test is indicated by loss of balance or increased sway, which suggests cerebellar dysfunction or proprioceptive impairment.

Choice C reason:

This is an incorrect answer. Tinel's sign is a physical examination maneuver that involves tapping over the median nerve at the wrist or the ulnar nerve at the elbow. A positive sign is indicated by tingling or pain in the distribution of the nerve, which suggests nerve entrapment or injury.

Choice D reason:

This is an incorrect answer. Phalen's test is a physical examination maneuver that involves asking the client to hold their wrists in full flexion for 60 seconds while pressing the dorsal surfaces of their hands together. A positive test is indicated by numbness, tingling, or pain in the median nerve distribution of the hand, which suggests carpal tunnel syndrome.




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