Question

A client is recovering in the outpatient surgical unit after an endoscopic carpal tunnel release. The nurse assesses the client's vital signs, pain level, and dressing. Before discharging the client, which intervention should the nurse implement?

a. Administer and non-steroidal anti-inflammatory drug for pain
b. Check neurovascular status of the distal digits
c. Change the dressing if drainage increases
d. Position the arm in a sling for discharge

Answer 1

Before discharging a client after carpal tunnel surgery, the nurse must check the neurovascular status of the distal digits to ensure adequate circulation and nerve function.

Step-by-step explanation:

Key Intervention Before Outpatient Carpal Tunnel Release Discharge

Before discharging a client who has undergone an endoscopic carpal tunnel release, a crucial nursing intervention is to check the neurovascular status of the distal digits. This assessment is vital as it ensures that there is no compromise in circulation or nerve function following the procedure. Aspects such as capillary refill, sensation, and the presence of pulses are examined. If any abnormalities are found, further evaluation and intervention may be required before the patient can be safely discharged.

In the context of carpal tunnel syndrome, the compression of the median nerve can affect the neurovascular function of the hand and fingers, hence post-operative assessment is essential. Administering pain medication, changing the dressing, or positioning the arm in a sling are important but come secondary to verifying that the nerve and blood supply to the hand is intact.