The nurse is assessing a patient with carpal tunnel syndrome. What assessment techniques should the nurse use to determine this patient's finger function?
Select all that apply.
1. making a fist
2. shaking hands
3. spreading the fingers
4. straightening the arm
5. bending the hand forward and backward
Correct Answer: 1, 2, 3
To assess the function of the fingers, the nurse should ask the patient to shake hands, make a fist, and spread the fingers. Straightening the arm assesses the triceps muscle. Bending the hand forward and backward assesses the wrist muscles.
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While performing a nursing assessment the nurse says to a client, "While growing up, most of us
have heard some half-truths about sexual matters that continue to puzzle us as adults. Do any come to your mind now?" The purpose of this question is to a. determine possible homosexuality. b. identify sexual misinformation. c. identify areas of sexual dysfunction for treatment. d. introduce the topic of masturbation.
Which nursing intervention is essential for the client who has Cushing's syndrome?
a. providing a private room with reverse or protective isolation as indicated b. encouraging discussion about changed body image c. instructing the client how to reduce stress d. teaching the client about low-protein, high-carbohydrate foods
The patient's admitting 12-lead ECG shows wide, M-shaped P waves. Which of the following admitting diagnoses could be responsible for this finding?
a. Mitral stenosis b. Chronic pulmonary disease c. Hypotension d. Pericarditis
A patient taking lisinopril (Zestril) for heart failure reports a nagging, nonproductive cough. What is the nurse's best first action?
a. Ask the patient whether he or she has received the annual influenza vaccination. b. Ask the patient how much the cough is interfering with sleep or other activities. c. Document the report as the only action. d. Notify the prescriber immediately.