Which exercise should a nurse teach to a client who underwent chest surgery to prevent shoulder ankylosis?

The recommended exercise for a client who underwent chest surgery to prevent shoulder ankylosis is to raise the arm on the affected side over the head. This movement is crucial because it encourages mobility and flexibility in the shoulder joint, which can be compromised after surgery. Raising the arm promotes the use of the shoulder's full range of motion, helping to prevent stiffness and ankylosis, a condition characterized by the rigidity of joints.

This specific exercise also helps maintain muscle tone and strength in the shoulder and can be particularly beneficial in encouraging blood circulation to the surgical area, which is vital for healing. Proper engagement of the shoulder allows for better recovery and can significantly enhance the client’s ability to perform daily activities post-surgery.

Other options may focus on different muscle groups or movements but do not directly target the shoulder joint in a way that specifically counters the risks associated with immobility after chest surgery. For instance, flexing and extending the elbow primarily works on the forearm and does not address shoulder mobility. Similarly, turning from side to side and lowering the head while sitting do not emphasize the shoulder's range of motion and may not contribute significantly to preventing shoulder ankylosis. Hence, raising the arm on the affected side is the most effective approach to maintaining shoulder