A patient presents with numbness and tingling in the thumb, index, and middle fingers, and a positive Phalen's test. Which of the following interventions would be most appropriate to address the underlying cause of these symptoms?

Administering oral corticosteroids to reduce inflammation systemically.

Applying heat therapy to the affected area to increase blood flow.

Wrist splinting to maintain a neutral position during sleep.

Performing finger stretching exercises to enhance flexibility.

Answer and Explanation

The Correct Answer is C

A.   Oral corticosteroids may reduce inflammation but are not typically the first choice for managing carpal tunnel syndrome.
B.   Heat therapy is not the most appropriate intervention, as it may worsen symptoms in some cases of carpal tunnel syndrome.
C.   Wrist splinting to maintain a neutral position during sleep helps alleviate pressure on the median nerve and is a common intervention for carpal tunnel syndrome.
D.   Finger stretching exercises are not typically recommended, as they may increase irritation to the nerve.

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Correct Answer is D

Explanation

A. Peptic ulcer disease is possible, but the patient's NSAID use and positive H. pylori antibodies suggest a more specific cause related to gastritis.
B. Acute gastritis due to NSAID use is likely since NSAIDs can irritate the stomach lining and increase the risk of ulcers.
C. Functional dyspepsia is less likely given the presence of H. pylori antibodies, which typically indicate an active infection.
D. Chronic gastritis due to Helicobacter pylori infection is the most likely diagnosis, especially with the combination of NSAID use and positive H. pylori antibodies.

A. Dyspnea B. Dysesthesia C. Dyspepsia D. Dysarthria

Correct Answer is C

Explanation

A. Dyspnea (difficulty breathing) is not typically associated with GERD. GERD is primarily characterized by symptoms related to the digestive system.
B. Dysesthesia refers to abnormal sensations, such as tingling or burning, and is not typically related to GERD symptoms.
C. Dyspepsia, or indigestion, is a common manifestation of GERD. It includes symptoms like heartburn, regurgitation, and discomfort in the upper abdomen.
D. Dysarthria, which refers to difficulty speaking, is not a common symptom of GERD and is more related to neurological conditions.

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A patient presents with numbness and tingling in the thumb, index, and middle fingers, and a positive Phalen's test. Which of the following interventions would be most appropriate to address the underlying cause of these symptoms?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Correct Answer is D

Explanation

A nurse is caring for a client in the primary care office who states, "I think I have been experiencing symptoms of reflux." Which of the following manifestations should the nurse anticipate for a client who has GERD?

Correct Answer is C

Explanation

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