A female client reports that pain from carpal tunnel syndrome is beginning to affect her job performance. Which instruction should the nurse provide this client?

Take a multivitamin that contains vitamin B6

Use a space heater to keep hands warm

Keep both hands elevated during work breaks

Obtain wrist splints to wear during work

Answer and Explanation

The Correct Answer is D

Choice A reason: Taking vitamin B6 is sometimes suggested for nerve health, but evidence for carpal tunnel syndrome relief is weak. Splinting maintains neutral wrist position, directly reducing median nerve compression, making this instruction less effective for managing work-related pain and functional impairment.

Choice B reason: Using a space heater to keep hands warm may improve comfort but does not address median nerve compression in carpal tunnel syndrome. Splinting prevents wrist flexion, directly relieving pressure, making warmth a secondary, less effective intervention for job-related pain.

Choice C reason: Elevating hands during breaks reduces swelling but does not prevent nerve compression during work. Wrist splints maintain neutral positioning, directly alleviating carpal tunnel symptoms, making elevation less effective, as it does not address repetitive strain causing job performance issues.

Choice D reason: Obtaining wrist splints is critical, as they keep wrists neutral, reducing median nerve compression in carpal tunnel syndrome. Worn during work, splints alleviate pain and improve function, directly addressing job performance issues, making this the most effective instruction for symptom management.

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Correct Answer is C

Explanation

Choice A reason: Profuse diaphoresis and headache are non-specific and not part of Cushing’s triad (bradycardia, irregular respirations, widened pulse pressure). Increased ICP causes specific cardiovascular and respiratory changes, and these symptoms are more aligned with autonomic dysfunction, making this finding incorrect for Cushing’s triad.

Choice B reason: Chest pain and shortness of breath suggest cardiopulmonary issues, not Cushing’s triad, which reflects increased ICP via bradycardia, irregular breathing, and widened pulse pressure. These symptoms are unrelated to intracranial dynamics, making this finding irrelevant for the expected manifestations of ICP.

Choice C reason: Hypotension is incorrect; Cushing’s triad includes hypertension, not hypotension, with bradycardia and irregular respirations due to ICP compressing brainstem centers. Venous pooling is unrelated, and this choice misrepresents the triad, but it is listed as the answer in error, as hypertension is expected.

Choice D reason: Painful urination and hematuria indicate urinary tract issues, not increased ICP or Cushing’s triad. The triad involves neurological and cardiovascular signs (hypertension, bradycardia, irregular breathing), and urinary symptoms are irrelevant, making this finding incorrect for ICP-related manifestations.

A. Tracheostomy placement B. Central line insertion C. Nasogastric tube (NGT) insertion D. Pacemaker placement

Correct Answer is C

Explanation

Choice A reason: Tracheostomy placement is for prolonged airway management, not immediate in traumatic brain injury (TBI). NGT insertion addresses acute needs like gastric decompression or feeding, as TBI may impair swallowing, making this procedure less urgent than managing intracranial complications.

Choice B reason: Central line insertion provides vascular access but is not specific to TBI. NGT insertion prevents aspiration or manages gastric contents, critical in TBI with altered consciousness, making central lines secondary, as they address fluid or medication needs, not TBI-specific issues.

Choice C reason: NGT insertion is anticipated, as traumatic brain injury often impairs swallowing or consciousness, increasing aspiration risk. The tube decompresses the stomach or delivers nutrition, preventing complications like pneumonia, making it a priority procedure to support TBI management and patient stability.

Choice D reason: Pacemaker placement addresses cardiac arrhythmias, unrelated to traumatic brain injury. NGT insertion manages gastric or nutritional needs in TBI, where neurological deficits are primary, making pacemakers irrelevant, as TBI does not typically involve acute cardiac conduction issues.

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A female client reports that pain from carpal tunnel syndrome is beginning to affect her job performance. Which instruction should the nurse provide this client?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Correct Answer is C

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Correct Answer is C

Explanation

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