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NURS 623 Exam 4- Questions and Answers
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NURS 623 Exam 4- Questions and Answers
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NURS 623 Exam 4- Questions and AnswersMrs. Anderson is a 35-year-old woman who has been recently diagnosed with carpal tunnel
syndrome. She has two young children and asks the clinician what the chances are that they
also will develop carpal tunnel syndrome. Which of the following responses would be correct
regarding the risk of developing carpal tunnel syndrome?
a. Carpal tunnel syndrome commonly occurs in families. Genetic factors are thought to
account for about one-half the risk of developing carpal tunnel.
b. Only people with occupations that require repeated flexion extension of the wrist, use of
hand tools that require forceful gripping, or use of hand tools that vibrate are at risk for
developing carpal tunnel.
c. An underlying musculoskeletal disorder must be present for a person to develop carpal
tunnel.
d. Carpal tunnel syndrome only occurs in the presence of a hormonal imbalance. Correct
Ans-a. Carpal tunnel syndrome commonly occurs in families. Genetic factors are thought to
account for about one-half the risk of developing carpal tunnel.
Which of the following statements is true regarding the treatment of carpal tunnel syndrome?
a. The goal of treatment is to prevent flexion and extension movements of the wrist.
b. Splints are used in carpal tunnel syndrome, because they allow for free movement of the
fingers and thumb while maintaining the wrist in a neutral position.
c. Corticosteroid injections are discouraged in the treatment of carpal tunnel syndrome
because of the risks for median nerve damage, scarring, and infection.
d. All of the above Correct Ans-d. All of the above
, NURS 623 Exam 4- Questions and Answers
Sam is a 25-year-old who has been diagnosed with low back strain based on his history of
localized low back pain and muscle spasm along with a normal neurological examination. As
the clinician, you explain to Sam that low back pain is a diagnosis of exclusion. Which of the
following symptoms would alert the clinician to the more serious finding of a herniated
nucleus pulposus or ruptured disc?
a. Morning stiffness and limited mobility of the lumbar spine
b. Unilateral radicular pain symptoms that extend below the knee and are equal to or greater
than the back pain
c. Fever, chills, and elevated erythrocyte sedimentation rate
d. Pathologic fractures, severe night pain, weight loss, and fatigue Correct Ans-b. Unilateral
radicular pain symptoms that extend below the knee and are equal to or greater than the
back pain
11. The clinician has instructed Sam, a 25-year-old patient with low back strain, to use NSAIDs
to manage his symptoms of pain and discomfort. Which of the following statements would be
most appropriate when teaching Sam about the use of NSAIDs?
a. "You should start with the lowest dose that is effective in managing your pain, because
long-term use of NSAIDs can result in gastrointestinal (GI) disorders such as ulcers and
hemorrhage."
b. "You should start with the lowest dose that is effective in managing your pain to avoid
developing tolerance to the medication."
c. "You should take the maximum recommended dose of NSAIDs so that you will not need to
take narcotics to control your pain."
, NURS 623 Exam 4- Questions and Answers
d. "It is important to take NSAIDs on an empty stomach in order to increase absorption."
Correct Ans-a. "You should start with the lowest dose that is effective in managing your
pain, because long-term use of NSAIDs can result in gastrointestinal (GI) disorders such as
ulcers and hemorrhage."
Janet is a 30-year-old who has recently been diagnosed with a herniated disc at the level of
L5-S1. She is currently in the emergency room with suspicion of cauda equina compression.
Which of the following is a sign or symptom of cauda equina compression?
a. Gastrocnemius weakness
b. A reduced or absent ankle reflex
c. Numbness in the lateral foot
d. Paresthesia of the perineum and buttocks Correct Ans-d. Paresthesia of the perineum
and buttocks
1. One of the initial steps in assessing patients with musculoskeletal complaints is to
determine whether the complaint is articular or nonarticular in origin. Which of the following
is an example of an articular structure?
a. Bone
b. Synovium
c. Tendons
d. Fascia Correct Ans-b. Synovium
2. You have detected the presence of crepitus on examination of a patient with a
musculoskeletal complaint. Additionally, there is limited range of motion (ROM) with both
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