A patient presents with numbness and tingling in the thumb, index, and middle fingers, and a positive Phalen's test. Which of the following interventions would be most appropriate to address the underlying cause of these symptoms?

Administering oral corticosteroids to reduce inflammation systemically.

Applying heat therapy to the affected area to increase blood flow.

Wrist splinting to maintain a neutral position during sleep.

Performing finger stretching exercises to enhance flexibility.

Answer and Explanation

The Correct Answer is C

A.   Oral corticosteroids may reduce inflammation but are not typically the first choice for managing carpal tunnel syndrome.
B.   Heat therapy is not the most appropriate intervention, as it may worsen symptoms in some cases of carpal tunnel syndrome.
C.   Wrist splinting to maintain a neutral position during sleep helps alleviate pressure on the median nerve and is a common intervention for carpal tunnel syndrome.
D.   Finger stretching exercises are not typically recommended, as they may increase irritation to the nerve.

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Correct Answer is ["B","D","F"]

Explanation

A. Nonallergic asthma typically persists throughout the year, not just during certain seasons or in response to allergens.
B. Nonallergic asthma occurs in the absence of hypersensitivity to allergens, so the patient will not exhibit typical allergic reactions.
C. Corticosteroids are often effective in managing both allergic and nonallergic asthma, so a positive response to corticosteroids is common.
D. Exercise-induced asthma flare-ups are common in nonallergic asthma, especially with physical activity.
E. Nasal inflammation is more common with allergic asthma than nonallergic asthma.
F. NSAIDs can trigger asthma flare-ups in some people with nonallergic asthma due to the effect on prostaglandins and inflammatory mediators.

A. Assume the episode was a migraine and schedule a neurology follow-up for a later date. B. Discharge the patient immediately since the symptoms resolved. C. Initiate antiplatelet therapy, such as aspirin, to reduce the risk of future strokes. D. Order a CT scan of the head to rule out intracranial hemorrhage. E. Start anticoagulation therapy immediately without further evaluation. F. Conduct a carotid ultrasound to assess for stenosis. G. Refer the patient for lifestyle modifications, including smoking cessation and diet changes.

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

Explanation

A. Assuming the episode was a migraine and scheduling a follow-up is not appropriate. TIAs are serious warning signs of potential future strokes and require immediate attention and evaluation.
B. Discharging the patient immediately after symptoms resolve is not appropriate. Even though symptoms resolve, TIAs are medical emergencies, and further evaluation is necessary to reduce the risk of a full-blown stroke.
C. Initiating antiplatelet therapy, such as aspirin, is an appropriate action to reduce the risk of future strokes in patients who have had a TIA.
D. Ordering a CT scan of the head is appropriate to rule out an intracranial hemorrhage and other causes of the symptoms.

E. Starting anticoagulation therapy immediately without further evaluation is not recommended. The patient must be properly assessed before starting anticoagulation to determine the cause of the TIA and if anticoagulation is appropriate.
F. Conducting a carotid ultrasound is appropriate to assess for stenosis, which could be contributing to the TIA.
G. Referring the patient for lifestyle modifications, including smoking cessation and diet changes, is crucial to reduce future stroke risk. These interventions help prevent the recurrence of TIAs and strokes.

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A patient presents with numbness and tingling in the thumb, index, and middle fingers, and a positive Phalen's test. Which of the following interventions would be most appropriate to address the underlying cause of these symptoms?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Which of the following common characteristics of nonallergic asthma can the nurse expect to find when assessing an adult client? (Select all that apply.)

Correct Answer is ["B","D","F"]

Explanation

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

Explanation

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