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A nurse is assessing a client who has carpal tunnel syndrome. The nurse should expect which of the following findings?

A.

Cool extremities

B.

Decreased radial pulse

C.

Positive Chvostek's sign

D.

Positive Phalen's sign

Answer and Explanation

The Correct Answer is D

A. Cool extremities are not typically associated with carpal tunnel syndrome. They may  be a sign of poor circulation, but this is not a specific finding for carpal tunnel syndrome. 

B. Decreased radial pulse is not a characteristic finding of carpal tunnel syndrome. It may  indicate issues with blood flow to the hand but is not specific to this condition. 

C. Positive Chvostek's sign is associated with hypocalcemia and involves facial muscle  twitching when the facial nerve is tapped. It is not related to carpal tunnel syndrome. 

D. Positive Phalen's sign is a characteristic finding in carpal tunnel syndrome. It involves  tingling or numbness in the median nerve distribution (usually thumb, index, middle, and  part of the ring finger) when the wrist is flexed for 60 seconds. 


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Related Questions

Correct Answer is C

Explanation

A. Stating that ibuprofen is the first step in medication therapy for osteoarthritis is not an accurate statement. Medication choices should be made in consultation with a healthcare provider, and different medications may be prescribed based on individual needs.

B. Elevating the legs with pillows is generally not a specific intervention for osteoarthritis in the knees. While elevation can help with other conditions, it is not a primary recommendation for managing knee osteoarthritis.

C. Using either heat or ice can be helpful in relieving discomfort associated with osteoarthritis. This statement indicates an understanding of self-care strategies for managing symptoms.

D. Limiting physical activity is not typically recommended for osteoarthritis management. In fact, regular and appropriate physical activity can be beneficial for maintaining joint function and reducing pain in individuals with osteoarthritis.

Correct Answer is A

Explanation

A. Placing a bath seat in the shower is a safety measure to prevent falls while bathing. This statement indicates an understanding of the importance of bathroom safety.

B. Placing an area rug at the entry of the bathroom can actually increase the risk of falls, as rugs can be tripping hazards. This statement does not demonstrate an understanding of home safety.

C. Keeping the walker at the end of the bed is a good practice for easy access, but it doesn't specifically address fall prevention in the home.

D. Keeping the fluorescent ceiling light on at night can provide better visibility and reduce the risk of tripping, but it doesn't address specific fall prevention measures elsewhere in the home.

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