Based on this description, what is the most likely cause of his shoulder pain?
A 68-year-old retired banker comes to your clinic for evaluation of left shoulder pain. He swims for 30 minutes daily, early in the morning. He notes a sharp, catching pain and a sensation of something grating when he tries overhead movements of his arm. On physical examination, you note tenderness just below the tip of the acromion in the area of the tendon insertions. The drop arm test is negative, and there is no limitation with shoulder shrug. The patient is not holding his arm close to his side, and there is no tenderness to palpation in the bicipital groove when the arm is at the patient's side, flexed to 90 degrees, and then supinated against resistance.
A) Rotator cuff tendinitis
B) Rotator cuff tear
C) Calcific tendinitis
D) Bicipital tendinitis
A) Rotator cuff tendinitis
Rotator cuff tendinitis is typically precipitated by repetitive motions, such as occurs with throwing or swimming. Crepitus/grating is noted in the shoulder with range of motion.
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A patient has recently been diagnosed with diabetes. The patient is clinically obese and is sedentary. How can the nurse best ensure potential success to increase activity in this patient?
A) Set up appointment times at a local fitness center for the patient to attend. B) Have a family member ensure the patient follows a suggested exercise plan. C) Construct an exercise program and have the patient follow it. D) Identify barriers with the patient that will inhibit change.
A 45-year-old woman asks how often she should have a mammogram. The most appro-priate answer is:
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The nurse is aware that a person's attitude about aging is influenced mainly by his or her __________. (Select all that apply.)
a. life experiences b. income level c. level of education d. current age e. occupation