Impingement syndrome is the entrapment of soft tissue

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Impingement syndrome is the entrapment of soft tissue structures under the coracoacromial arch of the shoulder. Text Reference - p. 1509 A patient experiences a tearing of a ligament as a result of shearing stresses applied to a joint. What diagnosis does the nurse anticipate? 1 Ligament injury 2 Rotator cuff tear 3 Overuse syndrome 4 Impingement syndrome 28. 1 Arteriography is the most objective study to determine viable tissue for salvage based on perfusion, because actual blood flow through the tissues is observed in real time. It is considered the gold standard for evaluating arterial perfusion. Bilateral peripheral pulse assessment, areas of black, indurated, and cold tissue, and bilateral pale and cool skin all identify the lack of tissue perfusion, but not the specific area where tissue perfusion stops and amputation needs to occur. Text Reference - p. 1530 The patient had frostbite on the distal areas of the toes on both feet. The patient is scheduled for amputation of the damaged tissue. Which assessment finding or diagnostic study is the most objective indicator for locating the level of the patient's injury? 1 Arteriography showing blood vessels 2 Peripheral pulse assessment bilaterally 3 Patches of black, indurated, and cold tissue 4 Bilateral pale and cool skin below the ankles
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29. 3 Ice application is the most useful intervention after a sprain. Cold compression produces hypothermia of the affected area, facilitating vasoconstriction and reducing the perception and transmission of nerve pain impulses. Antibiotic prophylaxis is administered for an open fracture or external extremity injury. Analgesics such as aspirin can be administered after the cold compress. Patient instructions should be provided after the extent of the injury is determined and initial interventions performed. Text Reference - p. 1507 What is the most useful initial nursing action for a patient who sustains a joint sprain? 1 Seeking a prescription for a prophylactic antibiotic 2 Administering an over-the-counter analgesic 3 Applying ice compresses to the injured area 4 Providing the patient with instructions about weight bearing 30. 4 The knee with an anterior cruciate ligament tear may produce a positive Lachman's test. This test involves flexing the knee by 15 to 30 degrees and pulling the tibia forward, keeping the femur stable. It is considered positive with forward motion of the tibia with a soft feeling and indistinct endpoint. This test is not performed to assess bursitis. A rotator cuff injury may be examined by a drop arm test. Carpel tunnel syndrome may be examined by positive results for Tinel's sign and Phalen's sign. Text Reference - p. 1511 A patient reports pain and inflammation of the knee. The nurse flexes the knee by 15 to 30 degrees and also pulls the tibia forward while keeping the femur stable. The nurse feels a soft forward motion of the tibia with an indistinct endpoint. What diagnosis does the nurse anticipate? 1 Bursitis 2 Rotator cuff injury 3 Carpal tunnel syndrome 4 Anterior cruciate ligament injury
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  • Summer '18
  • NONE
  • Rotator cuff tear

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