Author Question: The nurse is admitting a client with a shoulder dislocation. The client tells the nurse that the ... (Read 51 times)

rayancarla1 · **on:** Jun 25, 2018

The nurse is admitting a client with a shoulder dislocation. The client tells the nurse that the healthcare provider diagnosed a dislocated shoulder. The client asks the nurse what this diagnosis means.

Which response by the nurse is the most appropriate?
1. I cannot tell you without your healthcare provider's permission.
2. You have a muscle tear at the shoulder.
3. Your shoulder bone has come apart from the shoulder joint.
4. Your shoulder is fractured and separated from the joint.

Question 2

The nurse is discharging a client with osteoarthritis. Which points will the nurse include in this client's discharge teaching? Select all that apply.

1. Obesity increases the risks of bone, muscle, and joint disorders.
2. Musculoskeletal health is influenced by the diet.
3. Exercise is important in the prevention of osteoarthritis.
4. Smoking and alcohol contribute to the development of osteoarthritis.
5. As the condition progresses the hands may develop contractures that resemble swan necks.

janeli1 · **Reply #1 on:** Jun 25, 2018

Answer to Question 1

Correct Answer: 3
Dislocation is a displacement of the bone from its usual anatomical location in the joint. A dislocation is not the same as a muscle tear, or a fracture of the shoulder. The client has a concern and the nurse has the obligation to attempt to answer the questions presented within the nurse's scope of practice and responsibility.

Answer to Question 2

Correct Answer: 1, 2, 3
Osteoarthritis is a condition that results from degeneration of the joints. Risk factors include aging, obesity, congenital abnormalities, and occupations that place excessive stress on the joints. Dietary intake has an impact on musculoskeletal health. Calcium and vitamin D both promote strong bones. Regular exercise will promote healthful musculoskeletal functioning. Exercise increases muscle strength and flexibility. Smoking and alcohol contribute to the development of osteoporosis, not osteoarthritis. Swan-neck contractures are a deformity noted in the hand of an individual diagnosed with rheumatoid arthritis. Rheumatoid arthritis is a systemic disorder of autoimmune origin.