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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. Administering feeding solution directly from the refrigerator can cause discomfort to the patient and increase the risk of gastric upset.
B. Flushing the tube with cold water is not appropriate, as it may irritate the stomach and cause discomfort.
C. Positioning the patient supine at 30 degrees is unsafe, as it increases the risk of aspiration. The patient should be at a higher angle, typically 30-45 degrees.
D. Verifying the pH of gastric aspirate is crucial to ensure the feeding tube is in the correct position and to prevent aspiration of feeding material into the lungs.

A. Use sterile water to flush the tube before and after feeding. B. Lower the head of the bed to 15 degrees to facilitate feeding. C. Change the feeding bag and tubing every 24 hours. D. Check for residual volume before each feeding E. Add crushed medications to the enteral formula for convenience. F. Administer the feeding in a continuous cycle over 24 hours.

Correct Answer is ["C","D"]

Explanation

A. Using sterile water is recommended for flushing the tube before and after feeding, but it is not the most critical step in preventing complications.
B. Lowering the head of the bed to 15 degrees during feeding may increase the risk of aspiration, as a higher elevation is typically recommended.
C. Changing the feeding bag and tubing every 24 hours helps prevent bacterial contamination and reduces the risk of infection.
D. Checking for residual volume before each feeding helps ensure that the stomach is empty, reducing the risk of aspiration.
E. Adding crushed medications to the enteral formula is not recommended, as it can alter the formula's absorption and cause clogging of the tube.
F. Administering the feeding in a continuous cycle over 24 hours is typically done for certain patients, but it is not essential to prevent complications in all cases.

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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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Naxlex Comprehensive Predictor Exams

A nurse is preparing to administer an enteral feeding to a patient with a gastrostomy tube. Before starting the feeding, which of the following actions should the nurse take to ensure patient safety?

Correct Answer is D

Explanation

A nurse is caring for a patient receiving enteral nutrition via a gastrostomy tube. Which actions should the nurse take to prevent complications associated with enteral feeding? (Select All that Apply.)

Correct Answer is ["C","D"]

Explanation

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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.)