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Excerpt
1. The nurse should assess Ms. Roth to determine if she also has symptoms in which of these areas commonly affected in CTS?
a. Radial styloid process
b. Ulnar styloid process
c. Radial half of the ring finger
d. Ulnar half of the little finger
2. Ms. Roth would be at increased risk for carpal tunnel syndrome if she had which of these preexisting conditions?
a. Gallbladder disease
b. Obstructive respiratory disorder
c. Irritable bowel syndrome
d. Thyroid dysfunction
3. To help determine the presence of CTS, Phalen's test is performed, which includes
a. asking the patient to flex the wrist for 60 seconds.
b. asking the patient to extend the wrist for 60 seconds.
c. tapping lightly over the volar surface of the wrist.
d. tapping lightly over the dorsal surface of the wrist.
Conservative measures are not effective, and Ms. Roth is scheduled for endoscopic carpal tunnel release.
4. Ms. Roth asks the nurse, “How long after surgery will I be able to perform all my usual activities with my hand?” The nurse's response should reflect the knowledge that, following surgery,
a. both pain relief and return of hand strength to preoperative levels return within days.
b. pain relief occurs within days, but hand strength does not reach preoperative levels for several months.
c. hand strength occurs within days, but pain relief does not occur for several months.
d. both hand strength and pain relief take several months after surgery for resolution.
5. Ms. Roth should be advised that, following surgery, she is likely to require
a. long-term physical therapy.
b. indefinite use of a hand splint at night.
c. modification of her work environment.
d. counseling regarding a career change.
