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Multiple Choice
A nurse is caring for a client experiencing muscle fasciculations. Fasciculations appear as:
A
Sustained muscle contractions causing rigidity
B
Sudden, jerky movements of an entire limb
C
Slow, writhing movements of the limbs
D
Involuntary, brief, and visible muscle twitches under the skin
Verified step by step guidance
1
Understand the term 'muscle fasciculations': These are involuntary, brief, and visible muscle twitches that occur under the skin. They are caused by spontaneous depolarization of lower motor neurons or muscle fibers.
Differentiate fasciculations from other types of muscle movements: Fasciculations are distinct from sustained muscle contractions (rigidity), sudden jerky movements (myoclonus), or slow writhing movements (athetosis). Each of these has different underlying causes and presentations.
Recognize the clinical significance: Muscle fasciculations are often benign but can be associated with neurological conditions such as amyotrophic lateral sclerosis (ALS) or peripheral nerve irritation.
Correlate the description with the correct answer: The problem specifies 'involuntary, brief, and visible muscle twitches under the skin,' which matches the definition of fasciculations.
Apply this knowledge in clinical practice: When observing fasciculations, assess the patient for other neurological symptoms to determine if further investigation is needed.