Which of the following would lead a nurse to suspect that a client has a rotator cuff tear?
A) Ability to stretch arm over the head
B) Difficulty lying on affected side
C) Pain worse in the morning
D) Minimal pain with movement
B
Feedback:
Clients with a rotator cuff tear experience pain with movement and limited mobility of the shoulder and arm. They especially have difficulty with activities that involve stretching their arm above their head. Many clients find that the pain is worse at night and that they are unable to sleep on the affected side.
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The nurse is preparing to administer medications via the client's nasogastric feeding tube. When attempting to flush the tube, the nurse realizes that the tube is clogged. Which action by the nurse is the priority?
1. Using coke to unclog the tube 2. Giving the medication orally 3. Using ice water to irrigate the tube 4. Replacing the current tube with a new one
The client is being discharged after a percutaneous transluminal coronary angioplasty (PTCA) and is prescribed to take a calcium channel blocking agent. Which precaution should the nurse stress when teaching that is specific for this drug therapy?
A. "Change positions slowly." B. "Avoid crossing your legs." C. "Weigh yourself daily." D. "Decrease salt intake."
The nurse is caring for an 80-year-old client with the medical diagnosis of heart failure. The client has edema, orthopnea, and confusion. Which nursing diagnosis is most appropriate for this client?
A) Heart Failure related to edema, as evidenced by confusion B) Excess Fluid Volume related to retention of fluids as evidenced by edema and orthopnea C) Fluid Volume Deficit related to loss of fluids as evidenced by edema D) Excess Fluid Volume related to congestive heart failure as evidenced by edema and confusion
Common signs and symptoms of meningitis in young children include all of the following, EXCEPT:
A) poor feeding. B) nuchal rigidity. C) bulging fontanelle. D) irritability and fever.