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A nurse is educating a patient diagnosed with carpal tunnel syndrome about non-surgical management options. Which of the following interventions are appropriate to include in the patient's care plan?
(Select All that Apply.)

Recommending high-intensity wrist exercises to strengthen wrist muscles

Nonsteroidal anti-inflammatory drugs (NSAIDs) to reduce inflammation and pain

Ergonomic adjustments to the patient's work area to minimize wrist strain

Wrist splinting, especially at night, to keep the wrist in a neutral position

Encouraging the use of a vibrating hand massager to alleviate symptoms

Applying heat packs to the wrist to improve circulation and relieve symptoms

Corticosteroid injections to decrease inflammation and swelling around the median nerve

Answer and Explanation

Correct Answer : B,C,D,G

A.   High-intensity wrist exercises may aggravate symptoms and should generally be avoided in carpal tunnel syndrome.
B.   NSAIDs are helpful in reducing inflammation and pain, providing symptomatic relief for carpal tunnel syndrome.
C.   Ergonomic adjustments to the patient’s work area, such as adjusting chair height and keyboard
positioning, can help reduce strain on the wrist.
D.   Wrist splinting, especially at night, keeps the wrist in a neutral position, reducing pressure on the median nerve.
E.   A vibrating hand massager could increase irritation to the median nerve and is not recommended.
F.   Heat packs are not effective in treating carpal tunnel syndrome; cold therapy may help reduce inflammation.
G.   Corticosteroid injections can help decrease inflammation and swelling around the median nerve, providing symptom relief.

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

Explanation

A. Increasing the oxygen flow rate due to anxiety can worsen carbon dioxide retention, which is dangerous in COPD patients.
B. High-flow oxygen is typically not recommended for COPD patients because it can suppress respiratory drive.
C. Monitoring the respiratory rate and effort is crucial to ensure the patient is not retaining carbon dioxide or experiencing further respiratory distress.
D. Adjusting the oxygen flow rate to maintain a saturation level of 88-92% is recommended for COPD patients to prevent hypercapnia.
E. A non-rebreather mask is generally not used for COPD patients, as it can deliver too much oxygen, leading to carbon dioxide retention.
F. Encouraging deep breathing can help, but it is more important to focus on maintaining the proper oxygen saturation.

A. Complete blood count (CBC) B. Serum amylase test C. Fecal occult blood test D. Urea breath test

Correct Answer is D

Explanation

A. A complete blood count (CBC) can be helpful in identifying anemia or infection but does not confirm Helicobacter pylori infection.
B. Serum amylase test helps in diagnosing pancreatitis, not gastritis. It is not appropriate for confirming
H. pylori infection.
C. A fecal occult blood test detects hidden blood in the stool, which may be present in conditions like
gastric ulcers, but it doesn’t specifically diagnose H. pylori infection.
D. The urea breath test is a non-invasive and highly effective diagnostic tool for detecting Helicobacter pylori infection. It helps identify the presence of the bacteria by detecting the breakdown of urea in the stomach, which is metabolized by H. pylori.

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A nurse is educating a patient diagnosed with carpal tunnel syndrome about non-surgical management options. Which of the following interventions are appropriate to include in the patient's care plan? (Select All that Apply.)

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Naxlex Comprehensive Predictor Exams

A patient with COPD is receiving oxygen therapy. Which considerations are important to ensure safe and effective oxygen administration for this patient? (Select All that Apply.)

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

Explanation

A 45-year-old patient presents with epigastric pain, nausea, and bloating. The physician suspects gastritis. Which diagnostic test would be most appropriate to confirm the presence of Helicobacter pylori infection as a cause of gastritis?

Correct Answer is D

Explanation

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A nurse is educating a patient diagnosed with carpal tunnel syndrome about non-surgical management options. Which of the following interventions are appropriate to include in the patient's care plan? (Select All that Apply.)

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A nurse is educating a patient diagnosed with carpal tunnel syndrome about non-surgical management options. Which of the following interventions are appropriate to include in the patient's care plan?
(Select All that Apply.)