HESI Health Assessment WGU d344 Proctored Exam
The nurse performs a two-point discrimination test by applying two sterile needles lightly to the fingertips and moving the needle tips in ever-closing distances. A middle-aged adult client senses two points at a distance of 3 mm on the fingertips and 10 mm on the palms of the hands. Which interpretation of this finding is accurate?
Explanation & Rationale
A. Paresthesia refers to abnormal sensations, such as tingling or numbness, not related to the ability to distinguish between two points. B. Normal two-point discrimination is approximately 2-5 mm on the fingertips and 8-12 mm on the palms, so sensing two points at 3 mm on the fingertips and 10 mm on the palms is within the normal range for a middle-aged adult. This indicates normal sensory function. C. Marginal decline in sensory function would be suggested by a significantly increased distance required to perceive two points, but the distances noted here are normal. D. A rebound reaction refers to a reflex or involuntary response, not to the sensation of two-point discrimination.
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