A nurse is assessing a patient who reports numbness and tingling in the fingers, especially at night. The patient works as a data entry clerk. Which findings support a diagnosis of carpal tunnel syndrome?
(Select All that Apply.)

Discoloration of the fingers

Swelling of the entire hand

Pain in the forearm without hand involvement

Positive Phalen's test

Positive Tinel's sign

Pain relief with wrist extension

Answer and Explanation

Correct Answer : D,E

A.   Discoloration of the fingers is not typically associated with carpal tunnel syndrome, which mainly involves nerve compression.
B.   Swelling of the entire hand is not a common finding in carpal tunnel syndrome, though localized swelling at the wrist may occur.
C.   Pain in the forearm without hand involvement is not typical of carpal tunnel syndrome, which primarily affects the wrist and hand.
D.   A positive Phalen's test is indicative of carpal tunnel syndrome, as it reproduces symptoms when the wrist is flexed.
E.   A positive Tinel's sign, which involves tapping the median nerve at the wrist to elicit symptoms, is a classic test for carpal tunnel syndrome.
F.   Pain relief with wrist extension is common in carpal tunnel syndrome, as extending the wrist relieves pressure on the median nerve.

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Free Nursing Study Resources

Correct Answer is C

Explanation

A. Ecchymosis on the abdomen or pelvic areas is not typically a sign of peptic ulcer complications, but signs of bleeding such as melena or hematemesis are.
B. Weight gain is not a common indicator of peptic ulcer issues, so it would not be a focus in this case.
C. Dark or black-colored stools are a sign of gastrointestinal bleeding, which can be a complication of a peptic ulcer and should be closely monitored.
D. Changes in urine color (maroon or red) may indicate other types of bleeding, such as from the kidneys or urinary tract, not specifically from peptic ulcers.

A. Mast cells B. T lymphocytes C. Hyperreactivity D. Inflammation E. Epithelial cells

Correct Answer is ["A","B","D","E"]

Explanation

A. Mast cells play a crucial role in the pathophysiology of asthma. They release histamine and other inflammatory mediators, which contribute to airway inflammation and bronchoconstriction in status asthmaticus.
B. T lymphocytes are involved in the immune response during asthma exacerbations. They release cytokines that further drive inflammation and airway remodeling in status asthmaticus.
C. Hyperreactivity is a characteristic of asthma, but it is a result of inflammation, rather than being a direct cause of the circulatory surge of inflammatory cells and cytokines.
D. Inflammation is a central feature of status asthmaticus. It leads to airway narrowing, increased mucus production, and the recruitment of inflammatory cells, contributing to severe symptoms.
E. Epithelial cells are involved in airway inflammation and repair. They release pro-inflammatory cytokines that attract immune cells to the site of infection or irritation, contributing to airway obstruction in asthma.

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A nurse is assessing a patient who reports numbness and tingling in the fingers, especially at night. The patient works as a data entry clerk. Which findings support a diagnosis of carpal tunnel syndrome? (Select All that Apply.)

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is providing discharge instructions to a client who has a peptic ulcer. Which of the following information should the nurse include in the teaching?

Correct Answer is C

Explanation

A nurse is caring for a client with manifestations of status asthmaticus. Which of the following factors play a role in creating circulatory surge of inflammatory cells and cytokines in this condition? (Select all that apply.)

Correct Answer is ["A","B","D","E"]

Explanation

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A nurse is assessing a patient who reports numbness and tingling in the fingers, especially at night. The patient works as a data entry clerk. Which findings support a diagnosis of carpal tunnel syndrome?
(Select All that Apply.)