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
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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Related Questions
Correct Answer is D
Explanation
A. "Osteoarthritis causes the joints to become red and hot." This is more characteristic of rheumatoid arthritis, which involves inflammation leading to redness and warmth. Osteoarthritis typically causes pain and stiffness without significant redness or heat.
B. "Osteoarthritis is caused by an autoimmune process." Rheumatoid arthritis is an autoimmune disease where the body's immune system attacks its own tissues. Osteoarthritis is a degenerative joint disease caused by wear and tear of the cartilage.
C. "Osteoarthritis affects other organs in the body." Rheumatoid arthritis is a systemic condition that can affect multiple organs. Osteoarthritis is localized to the joints and does not affect other organs.
D. "Osteoarthritis can impair a joint on a single side of the body." Osteoarthritis can affect one joint or joints on one side of the body, such as one knee or one hip, whereas rheumatoid arthritis typically affects joints symmetrically.
Correct Answer is A
Explanation
A. "Your provider may prescribe a central catheter line for long-term antibiotics." Correct. Osteomyelitis often requires long-term intravenous antibiotics, and a central catheter line is typically used for this purpose.
B. "You may need to apply a cold pack to the site three times per day." Cold therapy is not a standard treatment for osteomyelitis; managing infection and inflammation through medication is key.
C. "You will need to limit consumption of high-protein foods." There is no need to limit high-protein foods; in fact, adequate nutrition, including protein, is important for healing.
D. "Your provider may ask you to walk multiple times per day to increase circulation." While mobility is important, walking on an infected heel wound might not be advisable until the infection is under control.
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