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Care of the post-op shoulder arthroplasty patient

doi: 10.1097/01.NME.0000371044.02742.36
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INSTRUCTIONS Care of the post-op shoulder arthroplasty patient



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Care of the post-op shoulder arthroplasty patient

GENERAL PURPOSE: To provide the professional nurse with an overview of shoulder arthroplasty procedures and care of the post-op patient. LEARNING OBJECTIVES: After reading this article and taking this test, you'll be able to: 1. Identify the different types of shoulder arthroplasty procedures. 2. Identify the nursing interventions for post-op shoulder arthroplasty patients.

1. Shoulder arthroplasty is performed when which articulating surface is damaged?

a. scapulohumeral

b. glenohumeral

c. axiohumeral

2. The type of surgical repair chosen depends in part on

a. the patient's age.

b. the type of physical therapy required.

c. the patient's gender.

3. Which procedure leaves the glenoid surface intact?

a. hemiarthroplasty

b. shoulder resurfacing

c. total shoulder arthroplasty

4. Which statement about hemiarthroplasty is correct?

a. It replaces the humeral head and glenoid surface with prostheses.

b. It can be used to repair a dislocated humeral fracture.

c. It replaces the humeral head with a plastic cap.

5. Shoulder resurfacing surgery is an option for

a. older patients.

b. patients with bone necrosis.

c. patients with irreparable rotator cuff tears.

6. Which surgical procedure allows for future shoulder surgeries if needed?

a. total shoulder arthroplasty

b. shoulder resurfacing surgery

c. reverse total shoulder arthroplasty

7. In a reverse total shoulder arthroplasty,

a. the deltoid muscle compensates for decreased rotator cuff function.

b. the shoulder is prepared for high use and demand.

c. the deltoid muscle can be nonfunctional.

8. Reverse total shoulder arthroplasty is an option when patients have

a. severe fractures due to osteoporosis.

b. deltoid tears.

c. complex proximal humerus fractures.

9. Which statement about post-op cryotherapy is correct?

a. It's difficult to maintain due to the anatomy of the shoulder.

b. It's used to reduce swelling and provide comfort.

c. It's an independently initiated nursing intervention.

10. Which statement about interventions for the post-op shoulder arthroplasty patient is correct?

a. The patient must wear a sling at all times except when bathing.

b. The patient must use cryotherapy continuously for the first 24 hours.

c. PCA must begin on the first post-op day.

11. Which nerve is the most likely to be damaged during shoulder surgery?

a. ulnar

b. radial

c. axillary

12. Postoperatively, which motion should be assessed on the surgical side?

a. flexing and extending the wrist against resistance

b. touching each finger to the tip of the nose

c. rolling the shoulder backward

13. Which of the following can prevent post-op DVT formation?

a. shoulder ROM exercises

b. early ambulation

c. sling use

14. Which statement about joint infections is correct?

a. Approximately 5% of patients experience joint infection in the immediate post-op period.

b. Joint infections can result from infections in other areas of the body.

c. Infections rarely develop more than 3 months after surgery.

15. After shoulder surgery, patients should wear compression stockings for up to

a. 2 weeks.

b. 3 weeks.

c. 4 weeks.

16. Which motion is permissible post-op?

a. dressing and undressing the surgical arm first

b. pushing up from a sitting position using the surgical arm

c. taking the elbow of the surgical arm behind the body

17. Most surgeons don't want the surgical site to be soaked in water for at least

a. 1 week.

b. 2 weeks.

c. 1 month.





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