The nurse would document "unable to assess" for which patient in relation to performing Phalen's test?
1. a patient with a long leg cast
2. a patient with an above-the-elbow amputation
3. a patient wearing compression stockings
4. a patient with osteoarthritis of the hips
Correct Answer: 2
Phalen's test involves holding the wrists in acute flexion against one another for 60 seconds, which isn't possible following upper extremity amputation. Numbness and burning in the fingers could indicate carpal tunnel syndrome. The presence of a leg cast, compression stocking, or hip pain would not deter the nurse from completing the exam.
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