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 A

Explanation

A. Diabetes: Diabetes increases the risk of osteomyelitis because high blood sugar levels can impair circulation, immune response, and wound healing, making infections more likely to develop and harder to treat.
B. Osteogenesis imperfecta: Osteogenesis imperfecta primarily affects bone fragility and does not directly increase the risk of osteomyelitis.
C. Cancer: Cancer can affect the bones and immune system, but it is not as directly linked to an increased risk of osteomyelitis as diabetes is.
D. Osteoporosis: Osteoporosis affects bone density and strength, making bones more prone to fractures, but it does not directly increase the risk of bone infection (osteomyelitis).

A. Provide relief from pain and discomfort for the client. B. Maintain immobilization and alignment for the client. C. Promote independence in activities of daily living for the client. D. Provide optimal nutrition and hydration for the client.

Correct Answer is B

Explanation

A. Provide relief from pain and discomfort for the client: Pain relief is important but not the highest priority for functional healing.

B. Maintain immobilization and alignment for the client: This is the highest priority because proper immobilization and alignment are crucial for bone healing and preventing complications.

C. Promote independence in activities of daily living for the client: Promoting independence is important but secondary to ensuring proper healing through immobilization and alignment.

D. Provide optimal nutrition and hydration for the client: Nutrition and hydration are essential for overall health and healing but are not as immediate in priority as maintaining immobilization and alignment for proper bone healing.

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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

Which medical condition increases the risk of osteomyelitis?

Correct Answer is A

Explanation

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Correct Answer is B

Explanation

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