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Carpal Tunnel
Text Mode Text version of the exam
1) You deserve the nursing assistant performing all of these interventions for the patient with CTS. Which action
requires that you intervene immediately?
Arrange the patients lunch tray and cut the meat.
Provide warm water and assist the patient with a bath.
Replace the patients splint in hyperextension position.
Remind the patient not to lift very heavy objects.
2) 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?
Initiate placement of a splint for immobilization during the day.
Assess the patients wrist and hand for discoloration and brittle nails.
Assist the patient with daily self-care measures such as bathing and eating.
Test the patient for painful tingling in the four digits of the hand.
3) Of the following common problems of the upper extremities, which results from entrapment of the median nerve at
the wrist?
Carpal tunnel syndrome
Ganglion
Dupuytrens contracture
Impingement syndrome
4) 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?
Learn to type using your left hand only.
Avoid typing in a long period of time.
Avoid carrying heavy things using the right hand.
Do manual stretching exercise during breaks.
5) 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.)
Check the patients vital signs every 15 minutes in the first hour.
Check the dressing for drainage and tightness.
Elevate the patients hand above the heart.
The patient will no longer need pain medication.
Check the neurovascular status of the fingers every hour.
6) The patient is scheduled for endoscopic carpal tunnel release surgery in the morning. What key point will you be
sure to teach the patient?
Pain and numbness will be experienced for several days to weeks.
Immediately after surgery, the patient will no longer need assistance.
After surgery, the dressing will be large with dots of drainage
After surgery, the pain and paresthesia will no longer be present.
7) A 45-yr-old auto mechanic comes to the physicians 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:
Inquiring further about this problem because psoriatic arthritis can accompany psoriasis
vulgaris
Suggesting he take aspirin for relief because its probably early rheumatoid arthritis
Validating his complaint but assuming its an adverse effect of his vocation
Asking him if he has been diagnosed or treated for carpal tunnel syndrome
8) 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?
Nephropathy
Macroangiopathy
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