The nurse working in the Emergency Department admits a client whose left arm hangs lower than the right arm and who is reporting severe left shoulder pain. The nurse's care, until the client is seen by the physician, is aimed at:
1. Reducing anxiety.
2. Preventing movement of the right arm.
3. Preventing movement of the left arm.
4. Knowledge deficit.
3
Rationale: The client likely has a dislocated left shoulder, and the nurse should aim care at preventing movement of the arm, which can worsen inflammation and stretching of ligaments and tendons until the bone is placed back into position. The client's knowledge and anxiety level is unknown.
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