The client's chief complaint is inability to move the fourth and fifth fingers during the nurse's interview

Question

The nurse notes severe flexion in both of the affected fingers and upon palpation, but there are no complaints of pain from the client. The nurse would suspect which of the following conditions in this situation? 1. Dupuytren's contracture
2. Carpal tunnel syndrome
3. Bursitis
4. Osteoarthritis

Answer 1

1
Rationale 1: Dupuytren's contracture involves inability to extend the fourth and fifth fingers, but is a painless, inherited disorder.
Rationale 2: Carpal tunnel is a condition caused by compression of the median nerve. In carpal tunnel syndrome the client feels numbness, tingling, and pain in the hands and wrists.
Rationale 3: Bursitis involves inflammation of the bursae. The condition is manifested by redness, warmth, swelling, and tenderness.
Rationale 4: Osteoarthritis is the degeneration of the joints. The condition typically causes pain and limitations in movement, but not numbness and tingling.