A nurse in a provider’s office is assessing a client who has wrist pain. Which of the following findings is a manifestation of carpal tunnel syndrome?

Positive Phalen’s sign

Cool extremities

Decreased radial pulse

Positive Trousseau’s sign

Answer and Explanation

The Correct Answer is A

Choice A reason: A positive Phalen’s sign, pain or numbness when flexing wrists for 60 seconds, indicates median nerve compression in carpal tunnel syndrome. This is a diagnostic hallmark, making it the correct manifestation for the condition.

Choice B reason: Cool extremities suggest vascular issues, not carpal tunnel syndrome, which involves nerve compression. Temperature changes are not a primary feature, making this incorrect for the client’s wrist pain.

Choice C reason: Decreased radial pulse is unrelated to carpal tunnel syndrome, which affects the median nerve, not arterial flow. Pulse changes might indicate other conditions, making this incorrect for the diagnosis.

Choice D reason: Trousseau’s sign, arm muscle spasms with blood pressure cuff inflation, indicates hypocalcemia, not carpal tunnel syndrome. It’s unrelated to wrist nerve compression, making this incorrect for the manifestation.

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Correct Answer is ["B","C","D"]

Explanation

Choice A reason: Elevating side rails near the head is not a standard seizure precaution, as padded rails or lowering the bed are preferred to prevent falls. During tonic-clonic seizures, excessive neuronal firing causes uncontrolled movements, and improper rail positioning may increase injury risk rather than mitigate it.

Choice B reason: Providing a suction setup is essential for tonic-clonic seizures, as excessive secretions or tongue biting can obstruct the airway during intense neuronal activity. Suctioning ensures airway patency, preventing aspiration and maintaining oxygenation, which is critical to avoid hypoxia during prolonged seizure episodes.

Choice C reason: Keeping an oxygen setup at the bedside is vital, as tonic-clonic seizures can cause hypoxia due to apnea or prolonged muscle contractions from widespread cortical discharges. Oxygen administration supports cerebral oxygenation, reducing the risk of brain damage during seizures, making it a key precaution.

Choice D reason: Placing the bed in the lowest position minimizes fall risk during tonic-clonic seizures, which involve violent muscle contractions due to synchronized neuronal firing. A low bed reduces injury severity if the client falls, aligning with seizure safety protocols to protect against trauma during uncontrollable movements.

Choice E reason: Furnishing restraints is not recommended, as restraining during a tonic-clonic seizure can cause injury or increase agitation. Seizures involve involuntary movements from epileptiform activity, and restraints may lead to fractures or psychological distress, making them an inappropriate intervention for seizure management.

A. Liver function tests must be monitored B. A pretreatment electroencephalogram (EEG) will be done C. High serum sodium levels can cause toxic levels of valproate D. Thyroid function tests should be performed every 6 months

Correct Answer is A

Explanation

Choice A reason: Valproate can cause hepatotoxicity, so liver function tests are essential to monitor for liver damage. This is a critical safety instruction for the client, making it the correct information to provide.

Choice B reason: An EEG is not routinely required before valproate, though it may monitor seizures. It’s not standard for bipolar treatment, making this incorrect for client education.

Choice C reason: High sodium levels don’t cause valproate toxicity; low sodium or drug interactions do. This is inaccurate, making it incorrect for the client’s medication teaching.

Choice D reason: Thyroid function is not routinely monitored with valproate, unlike lithium. Liver monitoring is the priority, making this incorrect for valproate’s essential client information.

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A nurse in a provider’s office is assessing a client who has wrist pain. Which of the following findings is a manifestation of carpal tunnel syndrome?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is creating a plan of care for a client who has a history of tonic-clonic seizure disorder. Which of the following interventions should the nurse include? (Select all that apply)

Correct Answer is ["B","C","D"]

Explanation

A nurse is caring for a client who has bipolar disorder and a new prescription for valproate. Which of the following information should the nurse give the client about the use of this medication?

Correct Answer is A

Explanation

The nurse is setting up the room for an admission who is being admitted for alcohol withdrawal. Which of the following should the nurse place at bedside to initiate seizure precautions? (Select all that apply)

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