The nurse suspects that a client has carpal tunnel syndrome and prepares to conduct the Phalen test. What instructions should the nurse give the client to perform the Phalen test?

Plantarflex the foot

Dorsiflex the foot

Hold both hands back to back while flexing the wrists 90 degrees for 60 seconds

Hyperextend the wrists with the palmar surface of both hands touching, and wait for 60 seconds

Answer and Explanation

The Correct Answer is C

A.   Plantarflexion and dorsiflexion refer to movements of the foot and are unrelated to the Phalen test.
B.   Hyperextension of the wrists with the palmar surfaces touching is not the correct maneuver for the Phalen test.
C.   The Phalen test involves holding both hands back to back while flexing the wrists at a 90- degree angle for about 60 seconds, which may induce symptoms of carpal tunnel syndrome in those affected.
D.   Hyperextending the wrists with the palms together doesn’t simulate the stress on the median nerve in the same way as the Phalen test.

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Correct Answer is D

Explanation

A. While prostate cancer risk increases with age, it's not rare for a 60-year-old man to have prostate cancer. This response might provide false reassurance.
B. Chemotherapy is not typically the primary treatment for benign prostatic hypertrophy (BPH) and doesn’t relate to the concerns raised by the client.
C. BPH is a chronic condition characterized by non-cancerous prostate enlargement, not temporary swelling that goes away.
D. BPH is commonly caused by hormonal changes and does not predispose a person to prostate cancer. It's important to differentiate between BPH and prostate cancer.

A. Capillary refill <5 seconds. B. Radial pulses 2+ with regular rate and rhythm bilaterally. C. Feet pale and cool to the touch. D. Right ankle 1+ edema with no perceptible swelling of the leg.

Correct Answer is B

Explanation

A. A capillary refill of less than 5 seconds is considered normal.
B. Radial pulses 2+ with regular rate and rhythm bilaterally indicate good peripheral circulation.
C. Feet that are pale and cool to the touch could indicate decreased perfusion or vascular compromise.
D. Right ankle 1+ edema may suggest some fluid retention but no perceptible swelling of the leg indicates relatively normal findings in that area.

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The nurse suspects that a client has carpal tunnel syndrome and prepares to conduct the Phalen test. What instructions should the nurse give the client to perform the Phalen test?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A 60-year-old man has been told that he has benign prostatic hypertrophy (BPH). He expresses that his friend just died from prostate cancer and that he is concerned about dying from cancer. Which of the following is an appropriate response by the nurse?

Correct Answer is D

Explanation

The nurse has completed a peripheral vascular assessment on a client. Which of the following would the nurse document as expected findings?

Correct Answer is B

Explanation

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