Author Question: The nurse is examining a patient in the emergency department whose chief complaint is a dislocated ... (Read 27 times)

lracut11 · **on:** Jul 24, 2018

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

Question 2

Patients with which conditions must be carefully assessed to determine whether they would tolerate treatment with a neuromuscular-blocking agent? (Select all that apply.)

a. Pregnancy
b. Hepatic disease
c. Pulmonary disease
d. Renal disease
e. Neurologic disorders
f. Psychiatric disorders

randomguy133 · **Reply #1 on:** Jul 24, 2018

Answer to Question 1

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.

Answer to Question 2

ANS: B, C, D, E
Patients with hepatic disease, pulmonary disease, renal disease, and neurologic disorders such as myasthenia gravis, spinal cord injury, or MS must be fully evaluated to assess their ability to tolerate neuromuscular-blocking agents. Neuromuscular-blocking agents can usually be used safely with the pregnant patient and the psychiatric patient.