The nurse is assessing a client with carpal tunnel syndrome. When the nurse percusses lightly over the median nerve, the client feels numbness, tingling, and pain along the median nerve.
A positive tinel s sign-a positive tinels sign is present if there is numbness, tingling, and pain along the median nerve when percussing lightly over the median nerve in each wrist. a positive tinels sign is often seen with carpal tunnel syndrome.
a positive phalens test is performed in individuals with carpal tunnel syndrome. the wrists are bent downward, pressing the backs of both hands together causing the flexion of the wrists to 90 degrees. normally clients experience no symptoms with this maneuver. in individuals with carpal tunnel syndrome, this maneuver produces pain, tingling, and numbness that radiates to the arm, shoulder, or neck.
dupuytrens contracture is not associated with carpal tunnel syndrome. with dupuytrens contracture, the fourth and fifth fingers are flexed. this is a progressive, painless, inherited disorder that causes severe flexion in the affected fingers, is usually bilateral, and is more common in middle-aged and older males.
atrophy of the thenar eminence is a common finding with carpal tunnel syndrome; however, it does not cause numbness and tingling.