A client who works at a computer most of the working day comes to the clinic reporting pain in both hands that causes the client to wake during the night. Which action should the nurse implement to assess for carpal tunnel syndrome?

Choice A reason: Eliminating whole milk and dairy servings of ice cream is an appropriate choice for a client with cholecystitis. These foods are high in fat, and a low-fat diet is recommended for managing cholecystitis. High-fat foods can stimulate the gallbladder to contract, which can exacerbate symptoms and cause pain. By removing these high-fat items from their diet, the client is following the recommended dietary guidelines for managing cholecystitis.

Choice B reason: Eliminating citrus fruit and melon with a salt substitute does not specifically address the dietary recommendations for cholecystitis. While citrus fruits and melon are generally healthy choices, they are not high in fat and do not need to be eliminated from the diet. Additionally, using a salt substitute does not have a significant impact on cholecystitis management.

Choice C reason: Eliminating pasta with herbal butter and no meat sauce is not necessary for managing cholecystitis. Pasta itself is not high in fat, and using herbal butter instead of regular butter can be a lower-fat option. As long as the pasta dish is prepared with low-fat ingredients, it can be part of a cholecystitis-friendly diet.

Choice D reason: Eliminating canned vegetables with additional table salt does not specifically address the dietary recommendations for cholecystitis. While it is generally a good idea to limit sodium intake for overall health, this recommendation is more relevant for managing conditions like hypertension. The focus for cholecystitis management should be on reducing dietary fat rather than sodium.

Choice A reason: Thick skin plaques topped by silvery white scales are characteristic findings in psoriasis vulgaris itself and do not indicate overexposure to PUVA treatment. These plaques are a result of rapid skin cell turnover and are typically the target of treatment, not a side effect of overexposure.

Choice B reason: The requirement for sunglasses because sunlight hurts the eyes is not a specific indication of overexposure to PUVA treatment. While PUVA therapy can increase sensitivity to light, the use of sunglasses is a preventive measure and does not necessarily indicate overexposure.

Choice C reason: Brown, rough, greasy, wart-like papules on the face suggest the presence of seborrheic keratosis or another benign skin condition, not overexposure to PUVA treatment. These lesions are unrelated to the therapy and do not serve as an indicator of overexposure.

Choice D reason: Tenderness upon palpation and generalized erythema are signs of overexposure to PUVA treatment. Overexposure can lead to phototoxic reactions, resulting in skin irritation, redness, and tenderness. These symptoms indicate that the client has received too much UV radiation during the treatment, leading to an adverse reaction.