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A nurse is assessing a client who reports numbness and pain in his right palm, index finger, and middle finger. The client reports working with a keyboard most of the time while at work. The nurse suspects carpal tunnel syndrome. Which of the following tests should the nurse request that the client perform?

A.

Hold the wrist at a 90-degree flexion.

B.

Flex the right arm at the elbow.

C.

Hold the right arm straight.

D.

Extend the right arm upward.

Answer and Explanation

The Correct Answer is A

A. Holding the wrist at a 90-degree flexion is known as Phalen's maneuver, which is a  test for carpal tunnel syndrome. This position puts pressure on the median nerve,  potentially reproducing the client's symptoms. 

B. Flexing the right arm at the elbow is not a specific test for carpal tunnel syndrome. 

C. Holding the right arm straight is not a specific test for carpal tunnel syndrome.

D. Extending the right arm upward is not a specific test for carpal tunnel syndrome.


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Related Questions

Correct Answer is B

Explanation

A. Remain on bedrest for the first 24 hr.: This is not recommended after arthroscopic knee surgery. Early mobilization and ambulation are encouraged to prevent complications such as blood clots and promote healing.

B. Apply ice to the affected area: This is an important instruction. Applying ice can help reduce swelling and pain after surgery. It's typically recommended for the first 24-48 hours.

C. Begin active range of motion: While range of motion exercises are important, they should be initiated as directed by the healthcare provider, and they should be done gently to avoid straining the surgical site.

D. Keep the leg in a dependent position: This is not recommended. Elevating the leg can help reduce swelling and promote circulation. Keeping the leg in a dependent position could exacerbate swelling and discomfort.

Correct Answer is B

Explanation

A. Inserting sterile packing into the nares is not indicated in this situation. Clear fluid drainage from the nose may be cerebrospinal fluid (CSF), and packing could cause further complications.

B. Allowing the drainage to drip onto a sterile gauze pad is the appropriate initial action. Clear fluid drainage from the nose after a traumatic event may be CSF, which can indicate a skull fracture and damage to the meninges. Collecting the fluid on a sterile gauze pad can help confirm the presence of CSF.

C. Suctioning the nose with a bulb syringe is not recommended because it can introduce contaminants into the nasal passages and potentially worsen the injury.

D. Obtaining a culture of the specimen using sterile swabs is a consideration once the presence of CSF is confirmed. However, the initial priority is to identify and collect the clear fluid drainage.

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