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

Cool extremities

Decreased radial pulse

Positive Chvostek's sign

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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Correct Answer is A

Explanation

A. Palpating the femoral pulse is an essential part of assessing the neurovascular status of a client with a femur fracture. The presence and strength of the femoral pulse can indicate adequate blood flow to the lower extremity.

B. While measuring the circumference of the thigh can provide some information about swelling or changes in the size of the limb, it does not directly assess neurovascular status.

C. Monitoring the client's calf for edema is important for assessing for signs of deep vein thrombosis (DVT) or venous insufficiency, but it is not the primary technique for assessing neurovascular status.

D. Instructing the client to wiggle his toes is a way to assess motor function and nerve function, which is part of the neurovascular assessment. However, it is not the initial step in assessing neurovascular status in a client with an unrepaired femur fracture. The femoral pulse should be assessed first to ensure adequate blood flow.

A. This service focuses on teaching the primary caregiver to meet the client's needs. B. The emphasis is on the client's complete recovery from the illness or injury. C. This service began with the client's admission to the hospital. D. Services are centered in long-term care facilities.

Correct Answer is A

Explanation

A. This option is correct. Rehabilitative care often involves educating the primary caregiver on how to assist the client in their recovery process.

B. This option suggests a focus on complete recovery, but rehabilitative care may also focus on adapting to new circumstances if complete recovery is not possible.

C. This option refers to the initiation of services, which may not specifically pertain to rehabilitative care.

D. This option incorrectly associates rehabilitative care exclusively with long-term care facilities. While rehabilitative care may occur in such facilities, it can also occur in other settings.

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

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Naxlex Comprehensive Predictor Exams

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Explanation

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