A nurse is collecting data from a client who reports shoulder pain. Which of the following findings should cause the nurse to suspect that the client has a rotator cuff injury?

Pallor of the affected extremity

Alteration in the appearance of the shoulder joint

Numbness of the thumb and index finger

Increased pain with lifting the arm

Answer and Explanation

The Correct Answer is D

A. Pallor of the affected extremity: Pallor usually indicates vascular issues rather than a rotator cuff injury.

B. Alteration in the appearance of the shoulder joint: Visible deformity may suggest a dislocation or fracture, not specifically a rotator cuff injury.

C. Numbness of the thumb and index finger: Numbness of the thumb and index finger is more likely related to nerve compression, such as carpal tunnel syndrome.

D. Increased pain with lifting the arm: This is characteristic of a rotator cuff injury, which typically causes pain and weakness with shoulder movements, especially lifting the arm.

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Correct Answer is D

Explanation

A. Poor circulation: Poor circulation would manifest as coolness, pallor, or decreased pulses distal to the cast, not warmth or odor.

B. Uneven cast drying: Uneven cast drying might cause discomfort or improper immobilization, but it typically does not cause warmth or odor.

C. Pressure from the cast: Pressure from the cast could cause pressure sores, which might lead to infection, but the primary issue here seems to be the signs of infection directly.

D. Infection: Warmth and odor from the cast are indicative of an underlying infection, which is a significant complication requiring prompt attention.

A. Fat embolism syndrome B. Osteomyelitis C. Pulmonary embolism D. Acute compartment syndrome

Correct Answer is D

Explanation

A. Fat embolism syndrome: Fat embolism syndrome can occur after fractures, particularly long bone fractures, but it typically presents with symptoms such as respiratory distress, petechiae, and neurological symptoms rather than severe pain and tingling in the affected extremity.
B. Osteomyelitis. Osteomyelitis, an infection of the bone, is characterized by localized pain, swelling, and fever but does not usually present immediately with severe pain and tingling following a fracture.
C. Pulmonary embolism. Pulmonary embolism is a blockage in one of the pulmonary arteries in the lungs and presents with chest pain, shortness of breath, and possibly coughing up blood, not localized extremity pain and tingling.
D. Acute compartment syndrome. Acute compartment syndrome is a serious condition that involves increased pressure within a muscle compartment. It can lead to severe pain, tingling, and decreased blood flow, which is consistent with the symptoms described.

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A nurse is collecting data from a client who reports shoulder pain. Which of the following findings should cause the nurse to suspect that the client has a rotator cuff injury?

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Naxlex Comprehensive Predictor Exams

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Correct Answer is D

Explanation

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Correct Answer is D

Explanation

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