Carpal Tunnel Syndrome Overview
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Questions and Answers

Which diagnostic technique is NOT typically used for carpal tunnel syndrome?

  • Phalen’s test
  • MRI
  • Scoliosis screening (correct)
  • Nerve conduction studies
  • Which treatment option is recommended for managing osteoporosis?

  • Sending the patient with a script for a walker
  • Teaching the patient about weightlifting
  • Ordering a home environment evaluation
  • Providing education on calcium intake (correct)
  • In muscular dystrophy, which statement by the patient indicates a need for further clarification?

  • I will need to take Tylenol and Motrin for pain.
  • I should plan my meals for potential swallowing difficulties.
  • I will focus on what I can do with my diagnosis.
  • I will start physical therapy to regain muscle strength. (correct)
  • What is a common risk factor associated with carpal tunnel syndrome?

    <p>Repetitive motion</p> Signup and view all the answers

    Which clinical manifestation after a femur fracture requires immediate notification of the healthcare provider?

    <p>Changes in sensation</p> Signup and view all the answers

    Which of the following is an effective non-surgical management option for carpal tunnel syndrome?

    <p>Ultrasound therapy</p> Signup and view all the answers

    What is typically the most appropriate initial intervention for a patient diagnosed with osteoporosis?

    <p>Education on fall prevention strategies</p> Signup and view all the answers

    Which of these interventions is considered a primary treatment for muscular dystrophy?

    <p>Stretching exercises</p> Signup and view all the answers

    What is a common intervention for managing hypovolemia post-surgery?

    <p>Administer blood transfusions as needed</p> Signup and view all the answers

    Which assessment is critical in monitoring a patient with suspected bone cancer?

    <p>Neurovascular status</p> Signup and view all the answers

    What is the primary goal when administering chemotherapy for bone cancer?

    <p>Kill cancer cells effectively</p> Signup and view all the answers

    Which nursing intervention is important for a patient with a fracture?

    <p>Apply thermal therapy as ordered</p> Signup and view all the answers

    What should be included in the pre/post-operative teaching for a patient undergoing joint replacement?

    <p>DVT prophylaxis strategies</p> Signup and view all the answers

    In managing musculoskeletal injuries, what defines a sprain?

    <p>Injury to a ligament</p> Signup and view all the answers

    What is the recommended nursing care action for a patient recovering from a deep vein thrombosis?

    <p>Implementing early mobilization strategies</p> Signup and view all the answers

    What indicates a compromise in neurovascular status that requires immediate attention?

    <p>Weak pulses and paresthesia</p> Signup and view all the answers

    Which intervention is most effective in preventing contracture in a patient with a recent amputation?

    <p>Elevating the residual limb on a gradual incline</p> Signup and view all the answers

    What is the primary purpose of applying a compression wrap to a residual limb post-amputation?

    <p>To minimize swelling and shape the limb</p> Signup and view all the answers

    Which medication is commonly used to treat phantom pain after an amputation?

    <p>Gabapentin</p> Signup and view all the answers

    How should caregivers assess the status of the residual limb?

    <p>By checking the color, temperature, and pulses</p> Signup and view all the answers

    What is a key nursing intervention to promote mobility in a patient after amputation?

    <p>Practicing range of motion exercises</p> Signup and view all the answers

    Which action should be emphasized to caregivers regarding hand hygiene?

    <p>Practicing hand hygiene consistently</p> Signup and view all the answers

    Study Notes

    Carpal Tunnel Syndrome

    • Compression neuropathy affecting the hands, characterized by sharp pain, numbness, tingling, and reduced grip strength.
    • Risk factors include repetitive motion, with women being more susceptible.
    • Diagnosis involves patient history, Phalen’s test, Tinel’s sign, nerve conduction studies, MRI, and ultrasound.
    • Medical management options include modification of the work environment, ultrasound therapy, NSAIDs, steroid injections, and night splinting.

    Patient Discharge Needs - Osteoporosis

    • Important intervention is conducting a home environment evaluation to assess safety and prevent falls, especially before providing equipment like walkers or giving dietary advice.

    Clarifying Statements - Muscular Dystrophy

    • A nurse may need clarification if a patient emphasizes the urgency of organizing their affairs, indicating potential emotional distress.
    • Focus on positive adaptation to the diagnosis is encouraged.
    • Attention should be paid to potential swallowing difficulties in meal planning and managing pain with medications.

    Femur Fracture Care

    • Immediate notification of the healthcare provider is required for hypovolemia as it indicates a serious condition.
    • Common manifestations to monitor include pain, edema, and nausea.

    Nursing Care for Joint Replacement

    • Administer prescribed medications, manage wounds, and promote early mobilization post-surgery.
    • DVT prophylaxis and pain management strategies are essential.
    • Educate on wound care, physical therapy, and the use of adaptive equipment to facilitate recovery.

    Bone Cancer

    • One of the more common cancers in children, treatment focuses on tissue removal, cancer cell destruction via radiation and chemotherapy, and limb conservation.

    Bone Cancer Nursing Interventions - Assessments

    • Regularly assess consciousness, pain levels, neurovascular status, and the size of masses.
    • Weak pulses, pallor, or neurovascular symptoms may indicate complications.

    Bone Cancer Nursing Interventions - Actions

    • Administer pain relief as per orders and provide chemotherapy or radiation.
    • Support the affected extremities and implement thermal therapy.
    • Address psychosocial needs due to the challenging nature of cancer diagnosis.

    Musculoskeletal Injuries

    • Strains involve muscle or tendon injuries, while sprains affect ligaments, and fractures disrupt bone integrity.

    Fractures - Medical Management and Nursing Care

    • Nonsurgical treatment may involve closed reduction techniques.
    • Vital signs and blood counts should be monitored; also, apply ice to injuries for pain relief.
    • Phantom pain post amputation is real and may require nerve pain medication, such as gabapentin.

    Patient Education for New Amputation

    • Emphasize hand hygiene for caregivers and demonstrate proper use of compression wraps.
    • Advise on monitoring circulation in the residual limb and the importance of proper elevation to prevent contractures.
    • Teach ROM exercises, safe pain medication use, and community resources for support.

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    Description

    This quiz covers the essentials of Carpal Tunnel Syndrome, including its symptoms, diagnostic methods, and medical management. Learn about the risk factors and the importance of patient history in diagnosing this common condition. Test your knowledge on the best treatment approaches and diagnostic tests.

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