A nurse is educating a patient diagnosed with carpal tunnel syndrome about non-surgical management options. Which of the following interventions are appropriate to include in the patient's care plan?
(Select All that Apply.)
Recommending high-intensity wrist exercises to strengthen wrist muscles
Nonsteroidal anti-inflammatory drugs (NSAIDs) to reduce inflammation and pain
Ergonomic adjustments to the patient's work area to minimize wrist strain
Wrist splinting, especially at night, to keep the wrist in a neutral position
Encouraging the use of a vibrating hand massager to alleviate symptoms
Applying heat packs to the wrist to improve circulation and relieve symptoms
Corticosteroid injections to decrease inflammation and swelling around the median nerve
Correct Answer : B,C,D,G
A. High-intensity wrist exercises may aggravate symptoms and should generally be avoided in carpal tunnel syndrome.
B. NSAIDs are helpful in reducing inflammation and pain, providing symptomatic relief for carpal tunnel syndrome.
C. Ergonomic adjustments to the patient’s work area, such as adjusting chair height and keyboard
positioning, can help reduce strain on the wrist.
D. Wrist splinting, especially at night, keeps the wrist in a neutral position, reducing pressure on the median nerve.
E. A vibrating hand massager could increase irritation to the median nerve and is not recommended.
F. Heat packs are not effective in treating carpal tunnel syndrome; cold therapy may help reduce inflammation.
G. Corticosteroid injections can help decrease inflammation and swelling around the median nerve, providing symptom relief.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["A","C","D","G"]
Explanation
A. Nocturia (frequent urination at night) is a common symptom of BPH due to increased urinary retention and urgency.
B. Fever and chills are not associated with BPH; these symptoms suggest an infection or other underlying condition.
C. Increased urinary frequency is a key symptom of BPH due to pressure on the urethra, making it more difficult to empty the bladder completely.
D. Hesitancy in starting urine flow is common in BPH due to the obstruction of the urethra by the enlarged prostate.
E. Hematuria is not a typical finding of BPH, though it can sometimes occur if the prostate is irritated.
F. Abdominal distension is not typically associated with BPH.
G. Decreased urinary stream is often observed in BPH because the enlarged prostate compresses the urethra, making urination difficult.
Correct Answer is ["C","F","G"]
Explanation
A. Irritable bowel syndrome is not a complication of PUD, as they are different gastrointestinal disorders.
B. Diverticulitis is unrelated to PUD and involves inflammation of the diverticula in the colon.
C. Gastrointestinal bleeding is a common and serious complication of PUD, occurring due to ulceration of the stomach or duodenum lining.
D. Chronic pancreatitis is not a typical complication of PUD, but it involves inflammation of the pancreas, not the stomach or duodenum.
E. Celiac disease is unrelated to PUD and involves an autoimmune reaction to gluten in the small intestine.
F. Perforation of the stomach or duodenum is a severe complication of PUD, leading to a life-threatening condition with leakage of stomach contents into the abdominal cavity.
G. Gastric outlet obstruction occurs when an ulcer causes scarring and narrowing of the pyloric canal, impeding gastric emptying.
H. Appendicitis is unrelated to PUD, as it involves inflammation of the appendix, not the stomach or duodenum.
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