MARYVILLE NURS 623 EXAM 4 NEWEST 2025/2026 ACTUAL EXAM
WITH COMPLETE QUESTIONS AND CORRECT DETAILED ANSWERS
(100% VERIFIED ANSWERS) |ALREADY GRADED A+| ||PROFESSOR
VERIFIED||
Mrs. 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. - ANSWER-a. Carpal tunnel syndrome
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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 - ANSWER-d. All of the above
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
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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
- ANSWER-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."