Difficulty: Medium
Average Score: 90%
Simulated
Passage / Scenario
Assessment1900:
Client presents to the emergency department with a shoulder injury that occurred during a soccer game. Client is unable to elevate or extend their right arm. Client reports pain as 7 on a scale of 0 to 10. Client reports no significant past medical, surgical, or family history.
2000:
Emergency provider, respiratory therapist, and RN at bedside for reduction of right shoulder. Medications administered as prescribed.
Plan of Care
2000:
Plan for moderate sedation for right shoulder reduction.
The nurse should prepare to administer _____ and _____ for a client undergoing shoulder reduction.
Correct answer
B,C
Rationale
The correct answer is B,C. Naloxone is administered to reverse any opioid-induced respiratory depression during the reduction procedure. Oxygen by face mask at 10 L/min is essential to ensure adequate oxygenation during the procedure. Acetaminophen (choice A) is a pain reliever but not necessary for this procedure. Fentanyl (choice D) and propofol (choice E) are potent sedatives that are not typically used for shoulder reduction.