A nurse is assessing a patient who reports numbness and tingling in the fingers, especially at night. The patient works as a data entry clerk. Which findings support a diagnosis of carpal tunnel syndrome?
(Select All that Apply.)

Discoloration of the fingers

Swelling of the entire hand

Pain in the forearm without hand involvement

Positive Phalen's test

Positive Tinel's sign

Pain relief with wrist extension

Answer and Explanation

Correct Answer : D,E

A.   Discoloration of the fingers is not typically associated with carpal tunnel syndrome, which mainly involves nerve compression.
B.   Swelling of the entire hand is not a common finding in carpal tunnel syndrome, though localized swelling at the wrist may occur.
C.   Pain in the forearm without hand involvement is not typical of carpal tunnel syndrome, which primarily affects the wrist and hand.
D.   A positive Phalen's test is indicative of carpal tunnel syndrome, as it reproduces symptoms when the wrist is flexed.
E.   A positive Tinel's sign, which involves tapping the median nerve at the wrist to elicit symptoms, is a classic test for carpal tunnel syndrome.
F.   Pain relief with wrist extension is common in carpal tunnel syndrome, as extending the wrist relieves pressure on the median nerve.

Nursing Test Bank

Quiz #1: RN Exams Pharmacology Exams Quiz #2: RN Exams Medical-Surgical Exams Quiz #3: RN Exams Fundamentals Exams Quiz #4: RN Exams Maternal-Newborn Exams Quiz #5: RN Exams Anatomy and Physiology Exams Quiz #6: RN Exams Obstetrics and Pediatrics Exams Quiz #7: RN Exams Fluid and Electrolytes Exams Quiz #8: RN Exams Community Health Exams Quiz #9: RN Exams Promoting Health across the lifespan Exams Quiz #10: RN Exams Multidimensional care Exams

Get 100+ Naxlex Exit Exams for $79 Try Naxlex NCLEX-RN (14 Day Free-Trial)

Naxlex Comprehensive Predictor Exams

Quiz #1: Naxlex RN Comprehensive online practice 2019 B with NGN Quiz #2: Naxlex RN Comprehensive Predictor 2023 Quiz #3: Naxlex RN Comprehensive Predictor 2023 Exit Exam A Quiz #4: Naxlex HESI Exit LPN Exam Quiz #5: Naxlex PN Comprehensive Predictor PN 2020 Quiz #6: Naxlex VATI PN Comprehensive Predictor 2020 Quiz #8: Naxlex PN Comprehensive Predictor 2023 - Exam 1 Quiz #10: Naxlex HESI PN Exit exam Quiz #11: Naxlex HESI PN EXIT Exam 2

Free Nursing Study Resources

Correct Answer is D

Explanation

A. Decongestants are not directly linked to the development of peptic ulcers and should not be avoided solely for this reason.
B. Undercooked foods may increase the risk for foodborne illness but are not a significant factor in the development of peptic ulcers.
C. Hormone replacement therapy is not a primary risk factor for peptic ulcers, though it may affect other aspects of gastrointestinal health.
D. Fried foods can irritate the stomach lining and exacerbate acid reflux, which could increase the risk of peptic ulcers, so it is advisable to avoid them.

A. Increase the oxygen flow rate to 4 L/min to improve oxygenation. B. Switch the patient to a non-rebreather mask for better oxygenation. C. Continue to monitor the patient closely and reassess in 30 minutes. D. Reduce the oxygen flow rate to 1 L/min and notify the healthcare provider.

Correct Answer is D

Explanation

A. Increasing the oxygen flow rate could worsen respiratory depression in patients with COPD, as they rely on low oxygen levels to stimulate breathing.
B. Switching to a non-rebreather mask could further elevate the oxygen levels and may lead to hypoventilation or respiratory distress.
C. Monitoring the patient closely and reassessing in 30 minutes might be appropriate if the patient shows no immediate signs of respiratory distress, but the priority is to address the decreased respiratory rate.
D. Reducing the oxygen flow rate to 1 L/min and notifying the healthcare provider is the most appropriate action, as it may reduce the risk of respiratory depression caused by excessive oxygen.

View Question and Answer

Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.

Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today

A nurse is assessing a patient who reports numbness and tingling in the fingers, especially at night. The patient works as a data entry clerk. Which findings support a diagnosis of carpal tunnel syndrome? (Select All that Apply.)

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a client who states their parent died from complications of a GI bleed. Which of the following statements from the nurse will help the client decrease their risk of developing a peptic ulcer?

Correct Answer is D

Explanation

A patient with chronic obstructive pulmonary disease (COPD) is receiving oxygen therapy at 2 L/min via nasal cannula. After assessing the patient, the nurse notes increased drowsiness and a decreased respiratory rate. What is the most appropriate action for the nurse to take?

Correct Answer is D

Explanation

A nurse is teaching a client who is at risk for osteoporosis. Which of the following instructions should the nurse include?

A 60-year-old patient with a history of hypertension presents to the clinic for a routine check-up. Which of the following findings would indicate poor management of hypertension? (Select All that Apply.)

A patient with Type 1 Diabetes Mellitus is admitted to the emergency department with deep, rapid breathing, abdominal pain, and confusion. Which of the following laboratory findings would most likely confirm a diagnosis of diabetic ketoacidosis (DKA)?

A 25-year-old patient with a history of epilepsy is brought to the emergency department after experiencing a generalized tonic-clonic seizure. Which of the following is the most appropriate initial action by the nurse?

A 68-year-old male patient presents with symptoms of benign prostatic hyperplasia (BPH). Which findings are consistent with BPH? (Select All that Apply.)

A 58-year-old male with a new diagnosis of Type 2 Diabetes Mellitus is being educated on lifestyle modifications to manage his condition. Which of the following interventions would be appropriate to recommend? (Select All that Apply.)

A nurse is caring for a patient receiving enteral nutrition via a gastrostomy tube. Which actions should the nurse take to prevent complications associated with enteral feeding? (Select All that Apply.)

A nurse is teaching a client who has multiple sclerosis about factors that can worsen their manifestations. Which of the following factors should the nurse include in the teaching?

A nurse is assessing a patient who reports numbness and tingling in the fingers, especially at night. The patient works as a data entry clerk. Which findings support a diagnosis of carpal tunnel syndrome?
(Select All that Apply.)