A client who is admitted for an acute stroke reports the onset of a burning sensation in the hands and legs. Which action should the nurse implement to identify additional findings that are consistent with the client's paresthesia?
Explanation & Rationale
A. Check distal phalanges capillary refill. This assesses circulation but not specifically paresthesia, which is more related to nerve function than blood flow. B. Evaluate client's muscle strength and hand grips. This is the most appropriate action. Paresthesia, or abnormal sensations like burning, often occurs alongside other neurological deficits such as weakness. Assessing muscle strength and hand grips will help determine the extent of neurological impairment. C. Observe skin for erythema, edema, and warmth. This assesses for inflammation or infection but not specifically paresthesia, which involves abnormal sensations. D. Review the client's serum electrolytes. Abnormal electrolyte levels can contribute to paresthesia. However, reviewing serum electrolytes is not directly related to neuropathic pain assessment and can be ruled out in this context.