Carpal Tunnel Syndrome By Rnpedia.Com
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Choose the letter of the correct answer.
- 1.You are providing nursing care for a patient with carpal tunnel syndrome (CTS) who is preparing for surgery. Which intervention should you delegate to the nursing assistant?
- A.
Initiate placement of a splint for immobilization during the day.
- B.
Assess the patient’s wrist and hand for discoloration and brittle nails.
- C.
Assist the patient with daily self-care measures such as bathing and eating.
- D.
Test the patient for painful tingling in the four digits of the hand.
- 2.You deserve the nursing assistant performing all of these interventions for the patient with CTS. Which action requires that you intervene immediately?
- A.
Arrange the patient’s lunch tray and cut the meat.
- B.
Provide warm water and assist the patient with a bath.
- C.
Replace the patient’s splint in hyperextension position.
- D.
Remind the patient not to lift very heavy objects.
- 3.The patient is scheduled for endoscopic carpal tunnel release surgery in the morning. What key point will you be sure to teach the patient?
- A.
Pain and numbness will be experienced for several days to weeks.
- B.
Immediately after surgery, the patient will no longer need assistance.
- C.
After surgery, the dressing will be large with dots of drainage
- D.
After surgery, the pain and paresthesia will no longer be present.
- 4.As charge nurse you assign the nursing care of a patient who has just returned form open carpal tunnel release surgery to an experienced LPN/LVN, who will perform under the supervision of an RN. Which of the following instructions will you provide for the LPN/LVN? (Choose all that apply.)
- A.
Check the patient’s vital signs every 15 minutes in the first hour.
- B.
Check the dressing for drainage and tightness.
- C.
Elevate the patient’s hand above the heart.
- D.
The patient will no longer need pain medication.
- E.
Check the neurovascular status of the fingers every hour.
- 5.You are preparing the post-operative CTS patient for discharge. Which information is important to provide to this patient?
- A.
The surgical procedure is a cure for CTS.
- B.
Hand movements will be restricted for 4 – 6 weeks after surgery.
- C.
Frequent pain medication dosages will no longer be necessary.
- D.
Notify the physician immediately for any pain or discomfort.
- 6.A 45-yr-old auto mechanic comes to the physician’s office because an exacerbation of his psoriasis is making it difficult to work. He tells the nurse that his finger joints are stiff and sore in the morning. The nurse should respond by:
- A.
Inquiring further about this problem because psoriatic arthritis can accompany psoriasis vulgaris
- B.
Suggesting he take aspirin for relief because it’s probably early rheumatoid arthritis
- C.
Validating his complaint but assuming it’s an adverse effect of his vocation
- D.
Asking him if he has been diagnosed or treated for carpal tunnel syndrome
- 7.Of the following common problems of the upper extremities, which results from entrapment of the median nerve at the wrist?
- A.
Carpal tunnel syndrome
- B.
Ganglion
- C.
Dupuytren’s contracture
- D.
Impingement syndrome
- 8.The nurse is conducting a discharge teaching regarding the prevention of further problems to a client who undergone surgery for carpal tunnel syndrome of the right hand. Which of the following instruction will the nurse includes?
- A.
Learn to type using your left hand only.
- B.
Avoid typing in a long period of time.
- C.
Avoid carrying heavy things using the right hand.
- D.
Do manual stretching exercise during breaks.
- 9.Mrs. Moore, 62-year-old, with diabetes is in the emergency department. She stepped on a sharp sea shells while walking barefoot along the beach. Mrs. Moore did not notice that the object pierced the skin until later that evening. What problem does the client most probably have?
- A.
Nephropathy
- B.
Macroangiopathy
- C.
Carpal tunnel syndrome
- D.
Peripheral neuropathy
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