A young swimmer comes to the sports clinic complaining of a very sore shoulder. He was running at the pool, slipped on some wet concrete, and tried to catch himself with his outstretched hand. He landed on his outstretched hand and has not been able to move his shoulder since. The nurses notices a length discrepancy between his two arms. The nurse suspects:

Tear of rotator cuff.

Adhesive capsulitis.

Joint effusion.

Dislocated shoulder

Answer and Explanation

The Correct Answer is D

A.   A tear in the rotator cuff usually results in pain and limited range of motion, but it doesn't typically cause a length discrepancy in the arms.
B.   Also known as frozen shoulder, this condition is characterized by limited range of motion but would not cause a discrepancy in arm length.
C.   While joint effusion involves fluid accumulation and can cause pain and swelling, it doesn't cause arm length discrepancy or the sudden inability to move the shoulder.
D.   A dislocated shoulder often results in an obvious deformity, such as a length discrepancy between the arms, and could prevent movement due to pain.

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Correct Answer is D

Explanation

A. While this can be uncomfortable and may require attention, it is not typically considered an emergency unless accompanied by severe pain, vomiting, or other concerning symptoms.
B. Insomnia or difficulty sleeping can significantly impact a person's quality of life, but it is not usually an immediate threat to health.
C. While it is important to assess and manage the underlying cause, it is not usually an immediate emergency unless it is accompanied by other severe symptoms like shortness of breath or chest pain.
D. This finding suggests the early stages of pressure ulcer development, which can rapidly progress if not addressed promptly. Immediate intervention is crucial to prevent further tissue damage and complications.

A. Taking medications to prevent osteoporosis. B. Performing of a activity, such as fast walking C. Assessing bone density annually D. Taking vitamin B12 supplements E. Taking vitamin B12 supplements

Correct Answer is B

Explanation

A. While medications may help prevent osteoporosis, lifestyle changes such as weight-bearing exercise are more effective and beneficial in the long term, especially for bone health.
B. Weight-bearing exercises, including walking, help stimulate bone formation and maintain bone density, which is crucial in preventing osteoporosis in perimenopausal women.
C. While monitoring bone density is essential for detecting osteoporosis, the best preventative strategy is improving bone health through weight-bearing activities, adequate calcium intake, and other lifestyle changes.
D. Vitamin B12 plays a role in maintaining nerve function and red blood cell production, but it is not directly involved in preventing osteoporosis.

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Naxlex Comprehensive Predictor Exams

A nurse assesses four clients. Which client assessment will require the nurse to perform an immediate focused assessment?

Correct Answer is D

Explanation

The nurse is teaching a class on preventing osteoporosis to a group of perimenopausal women. Which of these actions is the best way to prevent or delay bone loss in this group?

Correct Answer is B

Explanation

Which assessment finding(s) for a client with hypothyroidism should the nurse document as abnormal? Select all that apply.

During an examination, the nurse asks a patient to bend forward from the waist and notices that the patient has lateral tilting. When his leg is raised straight up, the patient complains of a pain going down his buttock into his leg. The nurse suspects:

A nurse is interviewing a male client who has a hearing impairment. What techniques would be most beneficial in communicating with this client?

A charge nurse is observing a nurse auscultating a client's bowel sounds. Which of the following actions requires intervention by the charge nurse?

The nurse is assessing voice sounds during a respiratory assessment. Which of these findings indicates a normal assessment? (Select All that Apply)

An adult client is admitted to the nursing unit with a medical diagnosis of Acute Stroke. The client does not respond to verbal stimuli. In this situation, what is the best action by the nurse to provoke a client response?

A client tells a nurse that "this dark spot on my left shoulder has gotten bigger, changed from a reddish to a brownish color, and used to be flat but is now like a small bump." The nurse knows that these findings may suggest

The wife of a 65-year-old man tells the nurse that she is concerned because she has noticed a change in her husband's personality and ability to understand. He also cries very easily and becomes angry. The nurse recalls that the cerebral lobe responsible for these behaviors is the……..lobe.