The nurse is assessing a client whose chief complaint is an inability to move the fourth and fifth fingers. The nurse notes severe flexion in both of the affected fingers. Upon palpation, there are no complaints of pain from the client
Based on this data, which diagnosis does the nurse suspect?
1. Dupuytren contracture.
2. Carpal tunnel syndrome.
3. Bursitis.
4. Osteoarthritis.
Correct Answer: 1
Dupuytren contracture involves inability to extend the fourth and fifth fingers, but is a painless, inherited disorder. 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. Bursitis involves inflammation of the bursae. The condition is manifested by redness, warmth, swelling, and tenderness. Osteoarthritis is the degeneration of the joints. The condition typically causes pain and limitations in movement, but not numbness and tingling.
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