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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
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.
Correct Answer is C
Explanation
A. A fracture in which the bone is completely broken into two or more pieces. This describes a complete fracture but does not necessarily imply displacement.
B. A fracture in which the bone breaks through the skin. This describes an open or compound fracture, not specifically a displaced fracture.
C. A fracture in which the broken ends of the bone are out of alignment. This is the correct definition of a displaced fracture. The bone ends are misaligned and require reduction to align properly.
D. A fracture in which the bone is partially cracked but still intact. This describes a partial or incomplete fracture, such as a greenstick fracture, not a displaced fracture.
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