A nurse is caring for a client who is postoperative following shoulder surgery. The client has a prescription to keep the affected arm adducted. Which of the following instructions should the nurse provide the client?

Use a pillow to prop your arm close to the ear.

Position your arm with the shoulder at a 90-degree angle.

Hold the arm against the side of your body.

Keep your arm bent at the elbow

Answer and Explanation

The Correct Answer is C

A. Use a pillow to prop your arm close to the ear. This instruction would position the arm in abduction, not adduction. Adduction involves bringing the arm closer to the body, not away from it.

B. Position your arm with the shoulder at a 90-degree angle. This would also position the arm in abduction, as a 90-degree angle would place the arm away from the body.

C. Hold the arm against the side of your body. Adduction means bringing the arm closer to the midline of the body, which is achieved by holding the arm against the side.

D. Keep your arm bent at the elbow. This instruction focuses on the elbow rather than the shoulder. Adduction refers to the shoulder's position relative to the body.

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Correct Answer is B

Explanation

A. Malalignment of healed bones. While malalignment can occur, it is not specifically associated with diabetes mellitus. Malalignment is more commonly related to inadequate immobilization or improper casting technique.
B. Delay or absence of healing: Diabetes mellitus impairs circulation and healing processes due to poor blood flow and neuropathy, making delayed union or non-union a significant risk.
C. Impaired mobility function. While diabetes and aging can contribute to impaired mobility, this is a general consideration and not directly related to the specific complication of the fracture healing process.
D. Development of bone infection. Although diabetics are at higher risk for infections, a closed reduction and proper cast care reduce this risk. Infection would be more of a concern with an open fracture or surgery.

A. Bone biopsy B. Arthroscopy C. Magnetic resonance imaging (MRI) D. Arthrocentesis

Correct Answer is D

Explanation

A. Bone biopsy: A bone biopsy involves taking a sample of bone tissue, which is not relevant for diagnosing septic arthritis.

B. Arthroscopy: Arthroscopy is a procedure that involves inserting a camera into the joint to visualize the interior but is not specifically for fluid aspiration.

C. Magnetic resonance imaging (MRI): MRI provides detailed images of soft tissues, joints, and bones but is not a direct method for aspirating synovial fluid.

D. Arthrocentesis: Arthrocentesis is the procedure of aspirating synovial fluid from the joint space, which is essential for diagnosing septic arthritis.

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A nurse is caring for a client who is postoperative following shoulder surgery. The client has a prescription to keep the affected arm adducted. Which of the following instructions should the nurse provide the client?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A patient experiences a fracture of the lower leg and undergoes a closed reduction and placement of a fiberglass cast. The patient is 65 years old and has a medical 30-year history of diabetes mellitus. Which condition does the nurse recognize as a possible complication for this patient?

Correct Answer is B

Explanation

The nurse collects data on a patient's left knee and notes redness, swelling, and pain. The health-care provider suspects septic arthritis and will perform a diagnostic procedure to aspirate synovial fluid for laboratory analysis. Which procedure does the nurse anticipate for this patient?

Correct Answer is D

Explanation

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