Hesi rn health assessment 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. Rebound reaction to the needle points. Rebound reaction is not related to two-point discrimination. B. Normal sensory finding. This is the best choice because sensing two points at 3 mm on the fingertips and 10 mm on the palms is within normal limits for a middle-aged adult. C. Marginal decline in sensory function. These results do not indicate a decline; they are normal findings. D. Paresthesia. Paresthesia refers to abnormal sensations such as tingling or numbness, which is not indicated by these normal test results.
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