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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Correct Answer is D

Explanation

A. Hyperactive bowel sounds are typically seen with diarrhea but are not a sign of hypokalemia.
B. Cerebral edema can occur with severe electrolyte imbalances, but it is not specifically related to hypokalemia caused by diarrhea.
C. Hypertension is not a typical symptom of hypokalemia; rather, hypokalemia often leads to low blood pressure.
D. Muscle weakness is a classic sign of hypokalemia because potassium is essential for proper muscle function, and low levels can impair contraction.

A. Encouraging the patient to take deep breaths and cough B. Administering oxygen to maintain adequate oxygenation C. Positioning the patient flat in bed to decrease discomfort D. Providing the patient with a warm compress to relieve chest pain E. Positive Tinel's sign

Correct Answer is B

Explanation

A. Encouraging the patient to take deep breaths and cough would not address the underlying cause of the symptoms, which may indicate a more serious condition.
B. Administering oxygen to maintain adequate oxygenation is the most appropriate initial action, as the patient’s symptoms suggest a potentially life-threatening condition like a cardiac tamponade or pulmonary embolism.
C. Positioning the patient flat in bed is not recommended, as it may exacerbate breathing difficulties and
the patient’s distress.
D. A warm compress is unlikely to be beneficial in this acute situation and could delay appropriate intervention.

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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.)

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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.)