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
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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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. "I will schedule important tasks in the afternoon." Clients with rheumatoid arthritis often experience morning stiffness, so scheduling important tasks in the afternoon may not be practical if fatigue sets in later in the day.
B. "I can use heat or cold to help relieve my pain." Both heat and cold can be effective in managing pain and inflammation associated with rheumatoid arthritis, depending on the stage of inflammation. Applying heat can help relax muscles and improve blood flow, while cold therapy can reduce swelling and numb pain. It’s essential for the client to follow proper guidelines when using these modalities
C. "I should stop exercising if I experience even a little bit of discomfort." While exercise should not cause severe pain, mild discomfort is expected and should not deter the client from continuing gentle exercises to maintain joint function and flexibility.
D. "I need to perform range-of-motion of my joints if I notice they are red." Range-of-motion exercises are essential for maintaining joint flexibility and preventing stiffness in rheumatoid arthritis. However, if the joints are red, swollen, or painful, it’s crucial toavoidperforming range-of-motion exercises during acute flare-ups. Instead, rest and gentle movement are recommended until the inflammation subsides.
Correct Answer is C
Explanation
A. Apply warm compresses to the fractured leg: Warm compresses are not typically recommended immediately after surgery due to the risk of increasing inflammation and swelling.
B. Encourage the patient to bear weight on the affected leg: Weight bearing should be done according to the physician's orders. Early weight bearing can cause complications if not appropriately timed.
C. Monitor the surgical incision for signs of infection: This is a critical nursing intervention to prevent and detect postoperative infections early.
D. Assist the patient with ambulation using crutches or a walker: Assisting with ambulation using crutches or a walker is important for safety and promoting mobility, but it should be done following weight-bearing restrictions.
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