A tennis player has an arthroscopic repair of a rotator cuff injury performed in same-day surgery. When the nurse plans postoperative teaching for the patient, which information will be included?

Correct Answer: B

Rationale: The correct answer is B: "You will begin work with a physical therapist tomorrow." This is the correct answer because early physical therapy is crucial for restoring range of motion and strength after rotator cuff surgery. The therapist will guide the patient in exercises to prevent stiffness and promote healing. Choice A is incorrect as it is overly pessimistic and does not reflect the potential for recovery with proper rehabilitation. Choice C is incorrect because immobilizing the shoulder for too long can lead to stiffness and reduced range of motion. Choice D is incorrect as the drop-arm test is used to assess rotator cuff tears before surgery, not to determine the success of surgery.

Correct Answer: C

Rationale: The correct answer is C: "I will be able to use my fingers with more flexibility to grasp things." This answer is correct because arthroplasty surgery aims to improve joint function and mobility rather than correcting deformities or changing the appearance of the fingers. Patients with ulnar drift caused by RA typically have limited mobility and flexibility in their fingers, so the goal of the surgery is to enhance the ability to use the fingers for daily tasks. Choice A is incorrect because while the surgery may improve finger function, it may not fully correct all deformities caused by RA. Choice B is incorrect because hand exercises are typically an important part of the post-operative rehabilitation process to regain strength and mobility. Choice D is incorrect because while the surgery may improve the alignment of the joints, it may not significantly change the size or shape of the fingers.

Correct Answer: C

Rationale: The correct action is to assess leg pulses and sensation first because it is crucial to determine if there is compromised blood flow or nerve damage. This assessment helps in identifying any immediate threats to the patient's limb and guides further interventions. Elevating the leg or applying compression bandage without ensuring adequate circulation could worsen the condition. Placing ice packs is not appropriate for a potentially compromised limb.

Correct Answer: D

Rationale: The correct answer is D because prolonged capillary refill indicates compromised blood flow, potentially leading to ischemia or compartment syndrome. It is crucial to communicate this immediately to prevent tissue damage. Swelling (A) and severe pain (B) are common in fractures and should be managed but may not indicate immediate danger. A deformed appearance (C) is expected in a Colles' fracture and usually does not require immediate intervention.

Correct Answer: C

Rationale: Rationale for Correct Answer (C): The statement "I did not have this bone cancer until my leg broke a week ago" indicates a lack of understanding about osteosarcoma, a type of bone cancer. Osteosarcoma does not develop as a result of a broken bone; rather, it is a primary bone cancer that arises from bone cells. This statement suggests a misunderstanding of the nature of the disease, indicating a need for further patient education. Summary of Incorrect Choices: A: Choice A is correct as physical therapy is typically recommended after amputation to aid in rehabilitation and improve mobility. B: Choice B is not indicative of a need for additional teaching as chemotherapy is often part of the treatment plan for osteosarcoma. D: Choice D is also not a sign for additional teaching as PCA is commonly used for postoperative pain management after amputation surgery.