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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 B

Explanation

A. Secondary progressive multiple sclerosis involves a steady decline in function with or without relapses, which is different from the relapsing-remitting pattern.
B. Relapsing-remitting multiple sclerosis (RRMS) is the most common type of MS and is characterized by flare-ups of symptoms followed by periods of partial or complete recovery with no symptoms.
C. Primary progressive multiple sclerosis involves a gradual worsening of symptoms without distinct relapses or remissions. This pattern does not match the client's description of periods without symptoms.
D. Clinically isolating syndrome refers to the first episode of neurologic symptoms that lasts for at least24 hours and is indicative of MS, but this is a different stage than relapsing-remitting MS.

A. Elevated ketones in the urine B. Presence of nitrites in the urine C. Low specific gravity D. Presence of glucose in the urine

Correct Answer is B

Explanation

A. Elevated ketones in the urine can indicate diabetic ketoacidosis or starvation but is not specific to a UTI.
B. Nitrites are commonly found in the urine of patients with UTIs due to bacterial conversion of urinary nitrates to nitrites. This is a hallmark finding of a UTI.
C. Low specific gravity indicates diluted urine, which is not a direct indicator of a UTI.
D. Glucose in the urine could indicate diabetes but is not a typical finding for a UTI.

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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 nurse is assessing a client who has multiple sclerosis. The client reports that, since the onset of the disease, there are times when their symptoms are active and then followed by a period with no symptoms. Which of the following types of multiple sclerosis does this pattern indicate?

Correct Answer is B

Explanation

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Correct Answer is B

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.)