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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. Decongestants are not directly linked to the development of peptic ulcers and should not be avoided solely for this reason.
B. Undercooked foods may increase the risk for foodborne illness but are not a significant factor in the development of peptic ulcers.
C. Hormone replacement therapy is not a primary risk factor for peptic ulcers, though it may affect other aspects of gastrointestinal health.
D. Fried foods can irritate the stomach lining and exacerbate acid reflux, which could increase the risk of peptic ulcers, so it is advisable to avoid them.

A. Increase the oxygen flow rate to 4 L/min to improve oxygenation. B. Switch the patient to a non-rebreather mask for better oxygenation. C. Continue to monitor the patient closely and reassess in 30 minutes. D. Reduce the oxygen flow rate to 1 L/min and notify the healthcare provider.

Correct Answer is D

Explanation

A. Increasing the oxygen flow rate could worsen respiratory depression in patients with COPD, as they rely on low oxygen levels to stimulate breathing.
B. Switching to a non-rebreather mask could further elevate the oxygen levels and may lead to hypoventilation or respiratory distress.
C. Monitoring the patient closely and reassessing in 30 minutes might be appropriate if the patient shows no immediate signs of respiratory distress, but the priority is to address the decreased respiratory rate.
D. Reducing the oxygen flow rate to 1 L/min and notifying the healthcare provider is the most appropriate action, as it may reduce the risk of respiratory depression caused by excessive oxygen.

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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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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.)