A nurse in a provider's office is assessing a client who has wrist pain. Which of the following findings is a manifestation of carpal tunnel syndrome?

Cool extremities

Positive Phalen's sign

Positive Trousseau's sign

Decreased radial pulse

Answer and Explanation

The Correct Answer is B

B. Phalen's sign is a test for carpal tunnel syndrome. It is positive when the client experiences numbness, tingling, or pain in the median nerve distribution (especially the thumb, index finger, middle finger, and half of the ring finger) within 1 minute of wrist flexion.

A. Cool extremities are not typically associated with carpal tunnel syndrome. They may indicate issues related to circulation rather than compression of the median nerve.

C. Trousseau's sign is a test for latent tetany, which is associated with hypocalcemia. It involves inflating a blood pressure cuff on the upper arm and observing for carpal spasm. It is not a manifestation of carpal tunnel syndrome.

D. A decreased radial pulse may indicate vascular issues or compression of the radial artery, not carpal tunnel syndrome.

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Correct Answer is B

Explanation

B. This test is known as Phalen's maneuver. It involves holding the wrist in flexion for 60 seconds or more to compress the median nerve, which runs through the carpal tunnel in the wrist. Reproduction of symptoms, such as numbness and tingling, during this maneuver is considered a positive sign for carpal tunnel syndrome.

A. Flexing the arm at the elbow doesn't directly assess for carpal tunnel syndrome. This movement primarily involves the elbow joint and the muscles of the upper arm.

C. Extending the arm upward doesn't directly assess for carpal tunnel syndrome. This movement primarily involves the shoulder joint and muscles of the upper arm.

D. Holding the arm straight doesn't directly assess for carpal tunnel syndrome. This movement primarily involves the elbow joint and muscles of the upper arm.

A. Emphasize that their spouse may push the pain button when they are uncomfortable B. Provide instructions on decreasing opioid doses by the second postoperative day. C. Teach the patient about how analgesics improve postoperative activity levels. D. Monitor for therapeutic and adverse effects of opioid administration. E. Assess for signs that the patient is becoming addicted to the opioid.

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

Explanation

C. Education about the benefits of pain management, including how analgesics can improve postoperative activity levels by reducing pain and discomfort, helps to promote the patient's understanding and engagement in their own care.

D. Nurses should closely monitor the patient for both therapeutic effects and adverse effects of opioid administration when using PCA or any other opioid analgesic. Regular assessment allows for prompt identification and management of any complications or side effects.

A. Patient-controlled analgesia (PCA) is designed for the patient to self-administer pain medication according to their own needs and pain levels.

B. Opioid dosing should be individualized based on the patient's pain level and response to the medication. Some patients may require ongoing opioid analgesia for more than two days postoperatively, while others may be able to transition to alternative pain management strategies sooner.

E. Concerns about opioid addiction should not be assumed in all patients, especially those who have never received opioids before. Instead, the focus should be on assessing the patient's pain levels, response to pain medication, and any adverse effects.

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A nurse in a provider's office is assessing a client who has wrist pain. Which of the following findings is a manifestation of carpal tunnel syndrome?

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Naxlex Comprehensive Predictor Exams

Correct Answer is B

Explanation

The health care provider orders a patient-controlled analgesia (PCA) machine to provide pain relief for a patient with acute surgical pain who has never received opioids before. Which nursing actions regarding opioid administration are appropriate at this time? (Select all that apply.)

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

Explanation

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