The nurse is examining a patient in the emergency department whose chief complaint is a dislocated shoulder. Which assessment data are needed to evaluate the patient? (Select all that apply.)
a. Details related to the mechanism of injury
b. Degree of impairment
c. Pain level
d. Inspection of the affected part for swelling, capillary refill, bruising, redness, localized tenderness, deformities, and paresthesia
e. Elevation of the affected extremity
ANS: A, B, C, D
Important nursing assessment of a musculoskeletal injury includes mechanism of injury, degree of impairment, pain level, and obvious deformity and neurovascular assessment. Elevating the affected extremity would exacerbate the pain and deformity of the injury.
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