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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

Answer and Explanation

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.

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Correct Answer is D

Explanation

A. Anti-cyclic citrullinated peptide (anti-CCP) antibodies are specific for rheumatoid arthritis but are not necessarily linked to disease activity.
B. Elevated rheumatoid factor (RF) levels are common in rheumatoid arthritis but not always indicative of disease activity.
C. A decreased erythrocyte sedimentation rate (ESR) is typically a sign of less inflammation, not more.
D. Elevated C-reactive protein (CRP) levels are a direct marker of inflammation and are often correlated with increased disease activity in rheumatoid arthritis.

A. Encourage the patient to take deep breaths and relax. B. Prepare the patient for an abdominal ultrasound. C. Administer oral proton pump inhibitors as prescribed. D. Initiate intravenous (IV) access and administer fluids as prescribed.

Correct Answer is D

Explanation

A. Encouraging the patient to relax and breathe deeply does not address the immediate concerns of potential hemorrhage.
B. An abdominal ultrasound is not the first step in managing potential GI bleeding; stabilization is the priority.
C. Proton pump inhibitors are important for managing peptic ulcer disease, but the immediate priority is
stabilizing the patient’s condition.
D. Initiating IV access and administering fluids as prescribed is essential to stabilize the patient, manage shock, and address potential blood loss from gastrointestinal bleeding.

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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.)

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Correct Answer is D

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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.)