A client is diagnosed with carpal tunnel syndrome. Which of the following assessment findings would the nurse expect?
A) Pain radiating down the dorsal surface of the forearm
B) Tenderness in the affected wrist
C) Inability to flex index and middle fingers
D) A decrease in grasp strength
C
Feedback:
Clients with carpal tunnel syndrome describe pain or burning in one or both hands, which may radiate to the forearm and shoulder in severe cases. The pain tends to be more prominent at night and early in the morning. Shaking the hands may reduce the pain by promoting movement of edematous fluid from the carpal canal. Sensation may be lost or reduced in the thumb, index, middle, and a portion of the ring finger. The client may be unable to flex the index and middle fingers to make a fist. Flexion of the wrist usually causes immediate pain and numbness. In epicondylitis, clients report pain radiating down the dorsal surface of the forearm and a weak grasp. Clients with ganglion cysts experience pain and tenderness in the affected area.
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