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.

Nursing Test Bank

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Correct Answer is ["1440"]

Explanation

To calculate the total units of heparin per hour:

Multiply the patient’s weight (80 kg) by the dosage (18 units/kg/hour):

80 kg × 18 units = 1440 units/hour.

This means the patient should receive 1440 units of heparin per hour.

A. Smoking can exacerbate GERD symptoms. B. GERD is primarily caused by excessive production of stomach acid. C. GERD is caused by the relaxation of the lower esophageal sphincter. D. Elevating the head of the bed can help reduce GERD symptoms. E. A diet high in citrus fruits is recommended for GERD management F. Antibiotics are the first-line treatment for GERD. G. Obesity is a risk factor for GERD.

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

Explanation

A. Smoking can exacerbate GERD symptoms. It weakens the lower esophageal sphincter (LES), increasing the likelihood of acid reflux.
B. GERD is not primarily caused by excessive production of stomach acid. It is usually due to a failure of the lower esophageal sphincter to prevent the backflow of stomach contents into the esophagus.
C. GERD is caused by the relaxation of the lower esophageal sphincter. When the LES is weakened or relaxes abnormally, acid can reflux into the esophagus, causing symptoms.
D. Elevating the head of the bed can help reduce GERD symptoms. It helps to prevent acid from moving back into the esophagus during sleep.
E. A diet high in citrus fruits is not recommended for GERD management. Citrus fruits can aggravate acid reflux symptoms.
F. Antibiotics are not the first-line treatment for GERD. Proton pump inhibitors (PPIs) or H2 blockers are typically used to manage GERD symptoms.
G. Obesity is a risk factor for GERD. It can increase intra-abdominal pressure, which may contribute to the reflux of acid into the esophagus.

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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

A 65-year-old adult patient weighing 80 kg is prescribed a continuous heparin infusion. The order is for 18 units/kg/hour. The pharmacy supplies heparin in a concentration of 25,000 units/500 mL. Determine the total units of heparin the patient should receive per hour.

Correct Answer is ["1440"]

Explanation

A nursing student is reviewing the pathophysiology and management of Gastroesophageal Reflux Disease (GERD). Which of the following statements are accurate regarding GERD? (Select All that Apply.)

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

Explanation

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