A nurse is assessing a client who reports numbness and pain in his right palm, index finger, and middle finger. The client reports working with a keyboard most of the time while at work. The nurse suspects carpal tunnel syndrome. Which of the following tests should the nurse request that the client perform?
Hold the wrist at a 90-degree flexion.
Flex the right arm at the elbow.
Hold the right arm straight.
Extend the right arm upward.
The Correct Answer is A
A. Holding the wrist at a 90-degree flexion is known as Phalen's maneuver, which is a test for carpal tunnel syndrome. This position puts pressure on the median nerve, potentially reproducing the client's symptoms.
B. Flexing the right arm at the elbow is not a specific test for carpal tunnel syndrome.
C. Holding the right arm straight is not a specific test for carpal tunnel syndrome.
D. Extending the right arm upward is not a specific test for carpal tunnel syndrome.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
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.
Correct Answer is D
Explanation
A. Instructing the client on the use of crutches is important but not the most crucial immediately postoperatively. Ensuring the client's neurovascular status is stable takes priority.
B. Directing the client to perform ankle and toe exercises is important for preventing complications like deep vein thrombosis (DVT) and maintaining joint mobility. However, it is not the most critical action in the immediate postoperative period.
C. Medicating the client for pain is essential for comfort and recovery, but it should be based on a pain assessment and should not take precedence over assessing neurovascular status.
D. Performing neurovascular checks of the extremities is the most crucial action in the postoperative period after orthopedic surgery. It helps to ensure there is adequate blood flow and nerve function to the affected limb, which is essential for preventing complications such as compartment syndrome or vascular compromise.
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