Final Exam: NR 569 NR569 Latest

Final Exam: NR 569 / NR569 (Latest

Update 2025 / 2026) Differential Diagnosis in Acute Care Practicum | Study Guide Questions & Answers | Grade A | 100% Correct – Chamberlain

Question:

Shoulder Disorders TX

Answer:

Although specific measures may be indicated based on the mechanism of injury, possible treatment of shoulder disorders include several options.Rest

NSAIDS

Ice or Heat Steroid Injection Physical Therapy

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Question:

Impingement syndrome

Answer:

Space between acromion and rotator cuff narrows, compresses bursa tendon.Inflammation, gradual onset pain worse with overhead activity. Described as "catching" sensation, may radiate to elbow.The most reliable sign of an impingement syndrome is that the pain is reproduced when the arm is flexed forward forcibly against resistance with the elbow extended

Question:

de Quervain's disease

Answer:

Pain at the base of the thumb aggravated by movement of the wrist or thumb and reproducible by flexion of the thumb, which is tenosynovitis of the thumb abductors and extensors.

Question:

carpal tunnel syndrome

Answer:

most common cause of nocturnal hand pain and often occurs in the later stages of pregnancy and rheumatoid arthritis.Pain in wrist radiating to the forearm. 2 / 4

The Phalen maneuver and Tinel's sign have been used to observe for reproduction of the patient's symptoms when the wrist is placed in flexion or when it is percussed on the volar surface.A history by the patient of shaking the hand or flicking the wrist in an attempt to alleviate nighttime discomfort (called the "flick sign") predicts electrodiagnostic abnormalities of the median nerve 93% of the time.

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Question:

Phalen's test

Answer:

Patient maximally flexes both wrist holding them against each other for 1 minute.

(+) TEST: Reproduces tingling and/or paresthesia into hand following median

nerve distribution

Question:

Tinel's sign

Answer:

A distal tingling sensation on percussion of median nerve of the inner wrist; characteristic of carpal tunnel syndrome

Question:

Rheumatoid arthritis

Answer:

Involves the elbow and wrist; it seldom involves the shoulder. Patients with active rheumatoid arthritis usually have joint stiffness as well as warmth, swelling, and tenderness.The pain is usually polyarticular and migratory rather than monoarticular.

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