The nurse caring for a patient who has severe shoulder pain from subluxation of the shoulder is aware that to prevent further injury and pain:
A) Use of a sling should be avoided due to adduction of the affected shoulder
B) Elevation of the arm and hand can lead to further complications associated with edema
C) Passively exercising the affected extremity is avoided in order to minimize pain
D) The patient should be taught to interlace the fingers, place the palms together, and slowly bring the scapulae forward to avoid excessive force to the shoulder
Ans: D
Feedback: The patient is taught how to move and exercise the affected arm/shoulder through proper movement and positioning. To prevent shoulder pain, the nurse should never lift a patient by the flaccid shoulder or pull on the affected arm or shoulder. The use of a properly worn sling when the patient is out of bed prevents the paralyzed upper extremity from dangling without support. Range-of-motion exercises are still vitally important in preventing a frozen shoulder and ultimately atrophy of subcutaneous tissues which can cause more pain. Elevation of the arm and hand is also important in preventing dependent edema of the hand.
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