Exhibits

For each assessment finding, click to indicate whether the findings from the client's assessment are generally associated with rotator cuff injury and humeral fracture. Each column must have at least one response selected.

Coolness of skin

Decreased range of motion

Reduced pulse distal to injury

Pain with movement

1+ strength in left upper extremity

Answer and Explanation

The Correct Answer is {"A":{"answers":"B"},"B":{"answers":"A,B"},"C":{"answers":"B"},"D":{"answers":"A,B"},"E":{"answers":"A,B"}}

Coolness of skin: This is commonly associated with vascular compromise, more likely to occur in fractures like humeral fractures where the blood vessels may be injured.

Decreased range of motion: Both rotator cuff injuries and humeral fractures lead to impaired movement due to pain and structural damage.

Reduced pulse distal to injury: This is typically a sign of vascular injury, more commonly associated with fractures than with soft tissue injuries like rotator cuff damage.

Pain with movement: Both conditions result in pain, especially during arm movement.

1+ strength in left upper extremity: Weakness can be present in both conditions due to the pain and mechanical issues affecting muscle function.

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Correct Answer is B

Explanation

Assessment of a bruit indicates blood flow through the fistula but does not directly confirm its patency; it is a good sign but not definitive.

B. Auscultation of a thrill on the left forearm is a direct indicator that the AV fistula is patent. A thrill signifies that blood is flowing freely through the fistula, which is essential for its function.

C. The left radial pulse being 2+ bounding indicates good peripheral circulation but does not specifically assess the status of the AV fistula.

D. Distended, tortuous veins in the left hand can indicate venous congestion, which could signify that the fistula is not functioning properly.

A. Instruct the client to increase protein intake. B. Prepare the client for repeat blood cultures. C. Arrange emergency transport to an inpatient facility. D. Explain the need to evaluate liver function.

Correct Answer is D

Explanation

A. Instructing the client to increase protein intake is inappropriate, as jaundice may indicate liver dysfunction, which can affect protein metabolism.

B. Preparing the client for repeat blood cultures may be necessary if there is suspicion of an infection, but the priority is to assess the liver's function first due to the presence of jaundice. C. Arranging emergency transport to an inpatient facility is not immediately necessary unless the client shows signs of severe distress or complications. Evaluation of liver function is a more prudent first step.

D. Explaining the need to evaluate liver function is critical because jaundice indicates a potential liver issue that needs immediate assessment. This evaluation will guide further treatment and management.

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Exhibits For each assessment finding, click to indicate whether the findings from the client's assessment are generally associated with rotator cuff injury and humeral fracture. Each column must have at least one response selected.

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A client with chronic kidney disease (CKD) has an arteriovenous (AV) fistula in the left forearm. Which observation by the nurse indicates that the fistula is patent?

Correct Answer is B

Explanation

Correct Answer is D

Explanation

A client with a recent exacerbation of heart failure reports to the nurse feeling uncomfortable and anxious, with a sensation of the flopping in the chest. While waiting for an electrocardiogram (ECG), which assessment is most important for the nurse to obtain?

The nurse is preparing a teaching plan for an older adult client diagnosed with osteoporosis. Which expected outcome has the highest priority for this client?

Exhibits Choose the most likely options for the information missing from the statement by selecting from the lists of options provided. onsidering the client's history and assessment findings, it is likely the client has related to

A client admitted with pneumonia and on bedrest has not had the strength to perform self care. Which assessment finding provides the nurse with the earliest indication that the client is developing a pressure injury?

In caring for a client who is receiving linezolid IV for nosocomial pneumonia, which assessment finding is most important for the nurse to report to the healthcare provider?

Exhibits The nurse discusses the need to balance energy intake and output to maintain weight. Click to indicate whether the following actions would be effective or ineffective for this client to achieve energy balance. Each row must have one option selected.

The nurse is caring for a 3-year-old client who is two hours postoperative from a cardiac catheterization via the right femoral artery. Which assessment finding is an indication of arterial obstruction?

Exhibits

For each assessment finding, click to indicate whether the findings from the client's assessment are generally associated with rotator cuff injury and humeral fracture. Each column must have at least one response selected.