The nurse is assessing a patient with carpal tunnel syndrome. What assessment technique should the nurse use to determine this patient's finger function? Select all that apply.
A. Bending the hand forward and backward
B. Straightening the arm
C. Shaking hands
D. Spreading the fingers
E. Making a fist
Answer: E
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A nurse teaches a client who is interested in smoking cessation. Which statements should the nurse include in this client's teaching? (Select all that apply.)
a. "Find an activity that you enjoy and will keep your hands busy." b. "Keep snacks like potato chips on hand to nibble on." c. "Identify a punishment for yourself in case you backslide." d. "Drink at least eight glasses of water each day." e. "Make a list of reasons you want to stop smoking."
A client receiving risperidone (Risperdal) reports severe muscle stiffness mid-morning. During
lunch he has difficulty swallowing food and is noted to drool. When vital signs are taken at 4 PM he is noted to be diaphoretic, with a temperature elevation of 38.4° C, pulse of 110 beats/min, and blood pressure of 150/90 mm Hg. The nurse should suspect a. agranulocytosis and institute reverse isolation. b. cholestatic jaundice and begin a high-protein, high-cholesterol diet. c. tardive dyskinesia and withhold the next dose of medication. d. neuroleptic malignant syndrome and notify physician stat.
Superficial palpation of the abdomen is often perceived by the child as tickling. Which measure by the nurse is most likely to minimize this sensation and promote relaxation?
a. Palpate another area simultaneously. b. Ask the child not to laugh or move if it tickles. c. Begin with deeper palpation and gradually progress to superficial palpation. d. Have the child "help" with palpation by placing his or her hand over the palpating hand.
A nurse performing a genital examination of a male client notes that the skin of the penis and scrotum is wrinkled. On the basis of this finding, the nurse:
A. Documents the normal finding B. Checks for penile discharge, because this finding indicates infection C. Palpates for a mass in the scrotum, because wrinkling indicates the presence of one D. Obtains additional subjective data from the client, focusing on the scrotal abnormality