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Home Q & A Board Biology-Related Homework Help Medicine Nursing and Clinical
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colleen colleen
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11 years ago
The nurse would document “unable to assess” for which of the following patients in relation to performing Phalen’s test?
1. a patient with a long leg cast
2. a patient with an above-the-elbow amputation
3. a patient wearing compression stockings
4. a patient with osteoarthritis of the hips
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Sunshine ☀ ☼

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wrote...
#1
11 years ago
The Phalen's test is used to identify and rate carpal tunnel. The only applicable answer related to carpal tunnel testing is #2
wrote...
#2
Educator
11 years ago
You're right. Phalen’s test involves holding the wrists in acute flexion against one another for 60 seconds, which isn’t possible following upper extremity amputation. Numbness and burning in the fingers could indicate carpal tunnel syndrome. The presence of a leg cast, compression stocking, or hip pain would not deter the nurse from completing the exam.
wrote...
#3
11 years ago
2. You need a wrist in order to do a Phalen's test.  Slight Smile

You would be able to do the opposite side though, unless it was amputated as well.

Always document 'unable to assess' or 'UTA' on any patient with amputation, otherwise it looks like you skipped that area of the assessment.
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