Exhibits
The nurse reviews the history and physical, the nurses' notes, and the flow sheet to help determine what is causing the client's symptoms.
For each listed finding, click to indicate whether the finding is associated with arthritis or carpal tunnel syndrome. Each column must have at least one response option selected.
Can be caused by aging
Inflammatory disease process
Finger numbness
Experience difficulty with fine motors movements
May have a genetic component
The Correct Answer is {"A":{"answers":"A,B"},"B":{"answers":"A"},"C":{"answers":"B"},"D":{"answers":"A,B"},"E":{"answers":"A"}}
Rationale:
- Can be caused by aging: Both arthritis and carpal tunnel syndrome are linked to aging. In arthritis, wear and tear on joints over time causes conditions like osteoarthritis. Carpal tunnel syndrome increases with age due to changes in wrist anatomy and nerve compression.
- Inflammatory disease process: Arthritis, especially rheumatoid arthritis, is inflammatory, causing joint pain and damage. Carpal tunnel syndrome, however, is caused by mechanical compression of the median nerve, not by inflammation.
- Finger numbness: Numbness in the fingers is common with carpal tunnel syndrome due to median nerve compression. While arthritis can cause pain and stiffness in joints, it does not typically cause finger numbness unless there's significant nerve involvement.
- Experience difficulty with fine motor movements: Both conditions can impair fine motor skills. Arthritis causes pain and stiffness in joints, while carpal tunnel syndrome affects nerve function, leading to weakness and difficulty performing precise tasks like writing or holding small objects.
- May have a genetic component: Arthritis has a genetic predisposition. Carpal tunnel syndrome does not have a strong genetic link but can be influenced by individual anatomical factors, such as a narrower carpal tunnel.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["A","E","F"]
Explanation
A. Consult a dietitian to support nutrition and weight loss: Excess weight puts added stress on joints, particularly weight-bearing joints. A dietitian can help create a balanced, anti-inflammatory diet and assist with weight loss to reduce strain on the joints and control inflammation.
B. Perform fine motor activities for the client to decrease pain: Fine motor activities may increase joint strain and discomfort in RA patients, particularly if done in excess or without adequate rest. Focus should be on rest and controlled activity.
C. Avoid movement, as it will increase pain: Complete immobilization of joints can lead to stiffness and further deterioration. While rest is important during flare-ups, gentle movement and exercises, such as range-of-motion exercises, are essential to prevent joint stiffness and preserve function.
D. Eat a diet high in refined carbohydrates: A diet high in refined carbohydrates is not beneficial for RA patients. Refined carbohydrates can increase inflammation and contribute to weight gain, which may worsen the symptoms of RA. A well-balanced, anti-inflammatory diet is recommended instead.
E. Apply ice packs to inflamed joints: Applying ice packs to inflamed joints can reduce swelling and provide relief from acute pain and inflammation. Cold therapy can help to numb the area, providing short-term relief and decreasing inflammation in affected joints for pain management in RA.
F. Facilitate paraffin wax dips to help soothe joints: Paraffin wax dips used to relieve pain and stiffness in joints affected by rheumatoid arthritis. The warm wax helps to relax muscles, increase blood flow, and reduce stiffness in the hands and wrists, providing comfort and improving joint mobility.
Correct Answer is B
Explanation
A. Notify the charge nurse the client will need assignment to the COVID-19 specified area of the facility: This is appropriate, but not the most immediate priority. Isolation must occur first to prevent viral spread before formal reassignment can be made.
B. Isolate the client from other clients, family, and healthcare workers not wearing proper PPE: This is the most urgent infection control measure. Isolation limits transmission risk while awaiting test results and is the first step in managing suspected COVID-19 cases.
C. Explain to the client to inform others that they may have been potentially exposed in the last 14 days: This is part of public health tracing but is not the nurse’s immediate clinical priority when caring for a symptomatic client.
D. Update the client and family regarding the COVID-19 vaccines that are available: Vaccine education is important for prevention but not urgent during symptomatic evaluation and isolation of a potentially infectious individual.
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