EAQ Ch 43

The nurse is caring for a patient who is being admitted for muscle weakness, fatigue, and vertigo. The patient reports feeling some numbness and tingling in the legs. What question by the nurse is most appropriate? -'Have you had a virus in the last six months?' -'Have you ever experienced anything like this before?' -'Have you been diagnosed with multiple sclerosis before?' -'Have you recently used any over-the-counter medications?'

'Have you ever experienced anything like this before?'

The nurse teaches a patient who has undergone anterior cervical diskectomy and fusion about postdischarge care. Which statement made by the patient indicates ineffective learning? 'I should not engage in any strenuous activity.' 'I should not drive without the physician's permission.' 'I should call the surgeon if I have difficulty swallowing.' 'I should wear a brace postdischarge for up to 10 weeks.'

'I should wear a brace postdischarge for up to 10 weeks.'

Which statement indicates that additional teaching is required for a patient scheduled for an arthrodesis? -'Bone grafts will be used to stabilize my spine.' -'I will be able to go home a few hours after the surgery.' -'I will have metal rods and screws placed to stabilize my spine.' -'I might need to wear a back brace for 4 to 6 weeks after surgery.'

'I will be able to go home a few hours after the surgery.'

The nurse has provided teaching to a patient diagnosed with multiple sclerosis about interventions to decrease constipation. What statement by the patient indicates a need for further teaching? 'I should increase my physical activity.' 'I will increase my fluid intake to 1 L a day.' 'I'm going to try to eat 30 g of dietary fiber a day.' 'I will take magnesium oxide to decrease my constipation.'

'I will increase my fluid intake to 1 L a day.'

What statement by the patient diagnosed with multiple sclerosis indicates a need for further teaching? 'I will try to use stress relief techniques.' 'I will stay away from people who have infections.' 'If my muscles are feeling tired I will take a hot bath.' 'I will alternate an eyepatch from side to side when I have diplopia.'

'If my muscles are feeling tired I will take a hot bath.'

The family member of a patient diagnosed with multiple sclerosis expresses concern over the patient's inappropriate behavior. What statement by the nurse is most appropriate? -'It may be important to avoid social situations.' -'We can talk to the doctor about medication to help with the behavior.' -'Unfortunately this is part of the disease process and will likely get worse.' -'It is a good idea to develop a cue to let them know they're being inappropriate.'

'It is a good idea to develop a cue to let them know they're being inappropriate.'

How should the nurse respond to the patient recovering from spinal fusion surgery who asks why he must get out of bed to walk the same day of surgery? -'It helps us make the bed easier.' -'It prevents the development of blood clots in your legs.' -'It helps metabolize any remaining anesthetic from the surgery.' -'It makes it easier to start walking once you are discharged home.'

'It prevents the development of blood clots in your legs.'

What question should the nurse ask to determine the cause of a patient's acute back pain? 'Have you been diagnosed with arthritis?' 'What medications do you take every day?' 'What were you doing when the pain started?' 'How much physical exercise do you perform daily?'

'What were you doing when the pain started?'

The nurse assessing a patient with multiple sclerosis (MS) is aware that although patients with this condition can expect a normal lifespan, they can develop a variety of complications. For which complications should the nurse evaluate the patient? Select all that apply. Epilepsy Cyanosis in extremities Muscle stiffness or spasms Paralysis, typically in the legs Problems with bladder, bowel, or sexual functioning

-Epilepsy -Muscle stiffness or spasms -Paralysis, typically in the legs -Problems with bladder, bowel, or sexual functioning

Which intervention is the priority for the nurse to perform for a patient following anterior cervical discectomy and fusion? Manage pain. Evaluate the ability to swallow. Check the incision site for bleeding. Assess airway, breathing, and circulation.

Assess airway, breathing, and circulation.

The nurse teaches a patient with multiple sclerosis self-management techniques postdischarge. Which statement made by the patient indicates the need for further teaching? -'I will practice the exercises taught by the physical therapist daily.' -'I will use the adaptive equipment for walking instructed by the primary health care provider.' -'I will take the medication as per the dose, dosage, and route of administration instructed to me.' -'I will regularly have sauna and steam baths as instructed by the physical therapist.'

-'I will regularly have sauna and steam baths as instructed by the physical therapist.'

The nurse is providing instructions to a patient with a spinal cord injury about caring for the halo device. The nurse plans to include which instruction? -'Begin driving 1 week after discharge.' -'Keep straws available for drinking fluids.' -'Swimming is recommended to keep active.' -'Avoid using a pillow under the head while sleeping.'

-'Keep straws available for drinking fluids.'

The nurse provides care for a patient admitted with multiple sclerosis (MS). Which medications does the nurse expect will be ordered for the patient? Select all that apply. Antibiotics Cholinergics Stool softeners Muscle relaxants Glucocorticoids

-Cholinergics -Stool softeners -Muscle relaxants -Glucocorticoids

The nurse assessing a patient with multiple sclerosis (MS) is aware that although patients with this condition can expect a normal lifespan, they can develop a variety of complications. For which complications should the nurse evaluate the patient? Select all that apply. Epilepsy Cyanosis in extremities Muscle stiffness or spasms Paralysis, typically in the legs Problems with bladder, bowel, or sexual functioning

-Epilepsy -Muscle stiffness or spasms -Paralysis, typically in the legs -Problems with bladder, bowel, or sexual functioning

Which risk factors would the nurse educate a patient about in regards to risk for multiple sclerosis (MS)? Select all that apply. Male gender Family history Age 20 to 50 years Asian and African descent History of Epstein-Barr virus

-Family history -Age 20 to 50 years -History of Epstein-Barr virus

What would be the appropriate nursing intervention for delusions occurring with ziconotide? -Assuring the patient that the symptoms are normal -Instructing the patient to stop taking the drug immediately -Instructing the patient to decrease the dosage of the drug -Asking the patient to begin taking haloperidol along with ziconotide

-Instructing the patient to stop taking the drug immediately

Which factors contribute to back pain in the older adult? Select all that apply. Osteoporosis Spinal stenosis Blood dyscrasias Rheumatoid arthritis Intervertebral disk degeneration

-Osteoporosis -Spinal stenosis -Blood dyscrasias -Intervertebral disk degeneration

Which type of multiple sclerosis (MS) involves steady and gradual neurological deterioration without temporary diminution of the symptoms? -Relapsing-remitting multiple sclerosis (RRMS) -Primary progressive multiple sclerosis (PPMS) -Progressive relapsing multiple sclerosis (PRMS) -Secondary progressive multiple sclerosis (SPMS)

-Primary progressive multiple sclerosis (PPMS)

The nurse teaches a patient who is newly diagnosed with multiple sclerosis (MS) about the disease. The nurse tells the patient about which characteristics of MS? Select all that apply. -Drooping eyelids -Problems chewing -Exacerbation and remissions -Demineralization of the neurons -Breakdown in communication between nerves and muscles -Chronic degenerative disease of the central nervous system

-Problems chewing -Exacerbation and remissions -Demineralization of the neurons -Chronic degenerative disease of the central nervous system

The nurse teaches a patient who is newly diagnosed with multiple sclerosis (MS) about the disease. The nurse tells the patient about which characteristics of MS? Select all that apply. -Drooping eyelids -Problems chewing -Exacerbation and remissions -Demineralization of the neurons -Breakdown in communication between nerves and muscles -Chronic degenerative disease of the central nervous system

-Problems chewing -Exacerbation and remissions -Demineralization of the neurons -Chronic degenerative disease of the central nervous system

The nurse teaches a patient who is newly diagnosed with multiple sclerosis (MS) about the disease. The nurse tells the patient about which characteristics of MS? Select all that apply. -Some correct answers were not selected -Drooping eyelids -Problems chewing -Exacerbation and remissions -Demineralization of the neurons -Breakdown in communication between nerves and muscles -Chronic degenerative disease of the central nervous system

-Problems chewing -Exacerbation and remissions -Demineralization of the neurons -Chronic degenerative disease of the central nervous system

The nurse is caring for a patient in the emergency department whose spinal cord was injured at the level of C7 1 hour ago. Which assessment finding requires the most rapid action? -The patient's chest moves very little with each respiration. -The patient demonstrates flaccid paralysis below the level of injury. -After two fluid boluses, the patient's systolic blood pressure remains 80. -Electrocardiographic monitoring shows a sinus bradycardia at a rate of 50.

-The patient's chest moves very little with each respiration.

The nurse provides care for a patient admitted with multiple sclerosis (MS). Which symptoms does the nurse expect to find when assessing the patient? Select all that apply. Vision loss Difficulty walking Long-term memory loss Numbness in extremities Urinary bladder dysfunction

-Vision loss -Difficulty walking -Numbness in extremities -Urinary bladder dysfunction

Which activity instructions are indicated for a patient four to six weeks after back surgery? Select all that apply. Walk daily. Restrict driving. Limit lifting to 10 lb. Increase stair climbing. Avoid twisting at the waist.

-Walk daily. -Limit lifting to 10 lb -Avoid twisting at the waist.

A patient diagnosed with multiple sclerosis is having issues emptying the bladder. What nursing action is priority? Assess the urine for infection. Encourage bladder training methods. Discuss the use of a bladder pacemaker. Teach the patient straight catheterization.

Assess the urine for infection.

The nurse would recommend weight loss as an intervention for a patient with chronic back pain when the patient's weight exceeds ideal weight by what percentage? 3% 5% 7% 10%

10%

A patient diagnosed with multiple sclerosis is getting ready to be discharged home. What action is priority? Suggest referral to a rehabilitation center first. Ensure the patient has home adaptive equipment. Assess the patient's home for hazards before discharge Ask the patient's family what assistance they plan to provide.

Assess the patient's home for hazards before discharge

Which initial assessment is the first priority for a patient with a spinal cord injury? Level of consciousness Degree of numerologic injury Airway, breathing, and circulation Ability to recall the events of the injury

Airway, breathing, and circulation

A registered nurse is supervising the student nurse who is providing emergency care to a patient experiencing autonomic dysreflexia. Which action of the student nurse indicates the need for further teaching? Select all that apply Placing the patient in the sitting position Checking for urinary retention in the patient Monitoring blood pressure every 10 to 15 minutes Administering a beta blocker in the patient with recurrent dysreflexia

Administering a beta blocker in the patient with recurrent dysreflexia

Which assessment findings indicate that a patient has a problem with a cervical disk? Select all that apply. Arm tingling Pain when moving the neck Pain radiating down the arm Limited arm range of motion Pain radiating to the shoulder

Arm tingling Pain when moving the neck Pain radiating down the arm Pain radiating to the shoulder

What action should the nurse take first to ensure personal safety when turning and repositioning a patient with a body mass index (BMI) of 40 who is recovering from a stroke? Raise the head of the bed. Lower the height of the bed. Ask other health care professionals to assist. Wash hands and apply personal protective equipment.

Ask other health care professionals to assist.

A patient returns to the neuromedicine floor after undergoing an anterior cervical diskectomy and fusion (ACDF). What is the nurse's first action? Assist with ambulation. Administer pain medication. Assess airway and breathing. Check the patient's ability to void.

Assess airway and breathing.

Herniation of a disc occurs most commonly in which area of the spine? At the sacrum Between L4 and L5 Between C3 and C4 Between T6 and T7

Between L4 and L5

Which cervical disk space is most often affected by spinal nerve root compression? C1-2 C3-4 C5-6 C7-8

C5-6

In addition to frequent repositioning, the nurse anticipates a consultation request for which special pressure relief device to help prevent pressure ulcers in the patient with a spinal cord injury? Trapeze Chair pad Water bottle Thromboembolism-deterrant (TED) hose

Chair a

The nurse is performing a postoperative assessment on a patient after an open back diskectomy. The nurse becomes concerned that the wound drainage contains cerebrospinal fluid when it appears as what color? Clear Green Yellow Blood-colored

Clear

The nurse is caring for a patient with a lumbosacral injury. The patient has a blood pressure of 80/50 mm Hg. The nurse should give priority to the administration of which prescribed medication? Dextran Tizanidine Atropine sulfate Methylprednisolone

Dextran

What should be included when providing discharge instructions to a patient recovering from an anterior cervical diskectomy and fusion (ACDF)? Do not drive. Restrict fluids. Lift only less than 10 lbs. Resume activities of daily living.

Do not drive.

A patient with severe muscle spasticity has been prescribed tizanidine. The nurse instructs the patient about which adverse effect of tizanidine? Hirsutism Drowsiness Hypertension Tachycardia

Drowsiness

While caring for patients diagnosed with multiple sclerosis, the nurse should see the patient with what symptom first? Ataxia Scotomas Dysphasia Paresthesia

Dysphasia

The nurse is preparing to perform an intermittent urinary catheterization on a patient with a spinal cord injury. The patient reports a sudden onset of headache along with nausea and sweating, and the nurse assesses a blood pressure of 185/110 mm Hg. What is the best action by the nurse? Notify the Rapid Response Team. Elevate the head of the bed to an upright position. Perform the procedure to relieve the bladder distention. Reduce the temperature of the room to reduce the sweating.

Elevate the head of the bed to an upright position.

What intervention is priority for a patient diagnosed with multiple sclerosis who is experiencing cognitive impairment? Encourage the use of written lists. Teach the use of a monthly calendar. Teach about the use of antidepressants. Discourage the use of electronic devices.

Encourage the use of written lists.

Which mechanism of spinal cord injury occurs when the head turns beyond the normal range? Hyperflexion Hyperextension Excessive rotation Vertical compression

Excessive rotation

A patient who has undergone an anterior cervical diskectomy and fusion is in the postoperative care unit and reports dysphagia and hoarseness in the voice. Which nursing intervention should be performed after assessing the patient? -Apply an ice compress to the incision site -Teach the patient to only talk when necessary -Consult with speech therapy for a communication board -Explain that the symptoms may last for a few days to several months

Explain that the symptoms may last for a few days to several months

What is a priority of care for a patient recovering from minimally invasive surgery for back pain? Maintain bedrest. Follow the prescribed exercise program. Avoid oral analgesics to encourage healing. Wait for a home care nurse to change the dressing.

Follow the prescribed exercise program.

A patient is taking ziconotide for severe chronic back pain. The nurse instructs the patient to stop taking the drug and call the provider immediately if which side effect occurs? Blurred vision Nausea with vomiting Hallucinations and delusions Numbness and tingling of extremities

Hallucinations and delusions

Which secondary spinal cord injury typically results from excessive bleeding? Ischemia Hemorrhage Local edema Hypovolemia

Hemorrhage

Which mechanism of spinal cord injury occurs when the head is suddenly accelerated and then decelerated? Hyperflexion Hyperextension Excessive rotation Vertical compression

Hyperextension

A sudden and forceful acceleration of the head forward may cause which mechanism of spinal cord injury? Hyperflexion Hyperextension Excessive rotation Vertical compression

Hyperflexion

Which type of spinal cord injury causes tearing of posterior ligaments and dislocation of vertebrae in the patient? Axial loading Hyperflexion Hyperextension Penetrating trauma

Hyperflexion

Following a spinal cord injury (SCI), what is the patient reporting decreased sensory sensation experiencing? Paraparesis Hypoesthesia Hyperesthesia Quadraparesis

Hypoesthesia

Which secondary spinal cord injury typically results from decreased circulating blood volume? Ischemia Hemorrhage Local edema Hypovolemia

Hypovolemia

What pain management modality is commonly used on patients with failed back surgery syndrome? Iontophoresis Phonophoresis Thermotherapy Implantable spinal cord stimulators

Implantable spinal cord stimulators

What does the nurse prioritize when caring for a patient diagnosed with multiple sclerosis who is experiencing hypalgesia? Pain Injury risk Lack of tolerance for activity Reduced capacity for self-care

Injury risk

What immunomodulator is used in the treatment of multiple sclerosis? Cyclosporine Methotrexate Methylprednisone Interferon-beta-1b

Interferon-beta-1b

A patient with a spinal cord injury is on medication to control severe muscle spasticity. After a few days of receiving the medication, the patient experiences sedation, fatigue, dizziness, and changes in mental status. Which medication does the nurse anticipate has contributed to these symptoms? Lamotrigine Levetiracetam Gabapentin Intrathecal baclofen (ITB)

Intrathecal baclofen (ITB)

What secondary spinal cord injury typically results from reduced or absent blood flow? Ischemia Hemorrhage Local edema Hypovolemia

Ischemia

Which statement about autonomic dysreflexia is accurate? It occurs when a spinal cord injury is present below T6. It can be caused by a distended bladder. It causes orthostatic hypotension in the patient. It increases the patient's heart rate.

It can be caused by a distended bladder.

What should the nurse explain to a patient with low back pain who asks why a computed tomography (CT) myelogram has been prescribed? It is noninvasive. It identifies fractures or neoplasms. It delineates specific nerve root involvement. It distinguishes motor neuron diseases from peripheral neuropathies.

It delineates specific nerve root involvement.

Which secondary spinal cord injury typically results from swelling of soft tissues due to increased interstitial fluid? Ischemia Hemorrhage Local edema Hypovolemia

Local edema

What term describes excessive inward curvature of the spine? Lordosis Scoliosis Spinal shock Spinal stenosis

Lordosis

The nurse understands that which statement is true of back pain? -Acute back pain continues for more than 12 weeks. -Low back pain is the leading cause of work disability. -The most common area for back pain is the thoracic spine. -Subsequent episodes of back pain tend to decrease in severity.

Low back pain is the leading cause of work disability.

When providing teaching to a patient newly diagnosed with multiple sclerosis, the nurse informs the patient that the confirmation of the diagnosis is based on what finding? Recent bloodwork Physical assessment Abnormal cerebrospinal fluid Magnetic resonance imaging (MRI)

Magnetic resonance imaging (MRI)

What is the priority when caring for a patient recovering from an anterior cervical diskectomy and fusion (ACDF)? Controlling pain Maintaining an airway Monitoring urine output Ensuring adequate blood pressure control

Maintaining an airway

The diagnostic results for a patient who reports severe chronic lower back pain shows that the vertebral disk is not pressing into the spinal cord. Which surgical treatment should the nurse expect to be performed to manage the patient's chronic pain? Microdisk surgery Minimally invasive surgery Percutaneous endoscopic disk surgery Laser-assisted laparoscopic lumbar disk surgery

Minimally invasive surgery

What chemotherapy drug has been shown to effectively reduce neurologic disability in patients with multiple sclerosis? Fingolimod Cyclosporine Mitoxantrone Methotrexate

Mitoxantrone

A patient with multiple sclerosis will begin therapy with fingolimod. Which instruction does the nurse give the patient about this drug? Monitor pulse daily. Report symptoms of vertigo. Report symptoms of flushing. Monitor daily fingerstick blood sugar.

Monitor pulse daily.

A halo fixator with a jacket is used to immobilize the spine of a patient following a vertebral fracture. What nursing assessment monitors for neurogenic shock? -Monitor for severe bradycardia every 2 to 4 hours. -Monitor the patient every hour for severe hypotension. -Assess the patient's breath sounds every 2 to 4 hours. -Check if a finger can be inserted between the jacket and the patient's skin.

Monitor the patient every hour for severe hypotension.

Which disease is characterized by remissions and exacerbations of symptoms causing neurological disability? Spinal shock Multiple sclerosis Spinal cord tumor Amyotrophic lateral sclerosis

Multiple sclerosis

A patient admitted to the intensive care unit after sustaining a cervical spinal cord injury in a motor vehicle crash is intubated and is receiving mechanical ventilation. The nurse notes a heart rate of 56 beats/min; blood pressure of 88/60 mm Hg; and warm, dry skin. Which priority action does the nurse perform? Continue to assess the patient every 2-4 hours. Increase the oxygen flow to the patient. Notify the provider of these findings immediately. Suction the patient to clear the airway of secretions.

Notify the provider of these findings immediately.

What teaching is priority for a patient taking dalfampridine? Monitoring pulse Observing for seizure activity Observing for signs of bleeding Reporting of visual disturbances

Observing for seizure activity

What is the symptom of a lateral herniation of the nucleus pulposus in an intervertebral disk of fifth and sixth cervical vertebrae? Pain in the leg Pain in the neck Pain in the abdomen Pain in the lower back

Pain in the neck

Following a spinal cord injury (SCI), what is the patient with weakness in the legs experiencing? Paraparesis Hypoesthesia Hyperesthesia Quadraparesis

Paraparesis

What assessment finding is associated with a lower thoracic spinal cord injury? Paraplegia Tetraplegia Hemiplegia Quadriplegia

Paraplegia

The nurse is teaching a patient newly diagnosed with multiple sclerosis (MS). Which statement by the patient indicates a correct understanding of the pathophysiology of the disease? 'I will die early.' 'Parts of my nervous system have plaques.' 'I will have gradual deterioration with no healthy times.' 'This was caused by getting too many x-rays as a child.'

Parts of my nervous system have plaques.'

In the emergency department (ED), which is the nursing priority in assessing the patient with a spinal cord injury? Patent airway Loss of sensation Indication of allergies Level of consciousness

Patent airway

Which are flexion exercises to help reduce low back pain? Select all that apply. Pelvic tilt Semi-sit-ups Knee to chest Stomach lying Prone push-ups

Pelvic tilt Semi-sit-ups Knee to chest

The nurse is teaching a patient about multiple sclerosis. What statement by the patient indicates a need for further teaching? -'There's a good chance multiple sclerosis is related to viruses.' -'People in colder climates are more prone to developing multiple sclerosis.' -'People with Asian ancestry are more likely to get multiple sclerosis.' -'I am at higher risk of developing multiple sclerosis because my mother had it.'

People with Asian ancestry are more likely to get multiple sclerosis.'

Which action does the nurse take first for a patient following back surgery who has a suspected cerebrospinal leak? Notify the surgeon. Remove the dressing. Administer analgesics. Place the patient in a flat-lying position.

Place the patient in a flat-lying position.

A patient is admitted with a spinal cord injury at the fifth thoracic vertebra secondary to a gunshot wound. Which nursing intervention is the priority for this patient's care? Monitoring nutritional status Beginning a bladder retraining program Auscultating bowel sounds every 2 hours Positioning the patient to maximize ventilation potential

Positioning the patient to maximize ventilation potential

The nurse instructs a patient experiencing lower back pain to lie in a semi-Fowler's posture with a pillow under the knees. What type of non-surgical conservative pain management therapy is the nurse following? Aromatherapy Physical therapy Weight loss therapy Positioning therapy

Positioning therapy

What should the nurse do first for a patient recovering from spinal fusion surgery who develops shortness of breath and chest pain? Assess the surgical site. Turn and reposition the patient. Administer the prescribed analgesic. Prepare for an arterial blood gas sample.

Prepare for an arterial blood gas sample.

During a home visit, the nurse determines that a patient recovering from spinal fusion surgery needs additional teaching about practices to avoid back injuries. What did the nurse observe the patient doing in order to make this decision? Sitting on a wooden chair Pulling an object over the floor Lifting an object weighing 2 lbs Standing for short periods of time

Pulling an object over the floor

Following a spinal cord injury (SCI), what is the patient with weakness in the legs and arms experiencing? Paraparesis Hypoesthesia Hyperesthesia Quadraparesis

Quadraparesis

What should the nurse suspect is occurring with an older patient with chronic low back pain who is experiencing acute confusion and constipation? Stroke Side effects of opioids Increasing intracranial pressure Beginning stage of Alzheimer's disease

Side effects of opioids

What medication may be used in a patient with multiple sclerosis who is experiencing erectile dysfunction? Sildenafil Methotrexate Magnesium oxide Methylprednisone

Sildenafil

Which condition is a patient at risk for following cervical spinal cord injury? Migraine Dementia Cardiac arrest Respiratory compromise

Respiratory compromise

The nurse teaches a patient with multiple sclerosis (MS) how to reduce fatigue. Which recommendation does the nurse provide? Take a hot bath. Avoid naps during the day. Rest in an air-conditioned room. Increase the dose of muscle relaxants.

Rest in an air-conditioned room.

A patient diagnosed with multiple sclerosis has an abnormal speech pattern with long pauses between words and syllables. What is this disorder called? Scanning Dysmetria Dysarthria Scotomas

Scanning

Which condition contraindicates ziconotide therapy? Seizures Schizophrenia Gastroenteritis Respiratory depression

Schizophrenia

What term describes excessive sideways curvature of the spine? Lordosis Scoliosis Spinal shock Spinal stenosis

Scoliosis

A patient diagnosed with relapsing-remitting multiple sclerosis is being seen at the practitioner's office. The patient reports that symptoms have become steadily progressive with no return to baseline. What form of multiple sclerosis is the patient experiencing? Primary progressive multiple sclerosis Secondary progressive multiple sclerosis Progressive-relapsing multiple sclerosis Relapsing-remitting multiple sclerosis exacerbation

Secondary progressive multiple sclerosis

Which statement accurately describes the Williams position? -Lying prone with the head of the bed flat -Sitting in a reclining wheelchair with the knee-gatch raised -Lying supine with the head flat and the feet elevated 30 degrees -Semi-Fowler's with a pillow under the knees to keep them flexed

Semi-Fowler's with a pillow under the knees to keep them flexed

In assessing a patient with back pain, the nurse uses a paper clip bilaterally on each limb. What is the nurse assessing? Gait Mobility Sensation Strength

Sensation

The nurse is caring for a patient admitted with an exacerbation of multiple sclerosis (MS). The patient reports urinary incontinence. Which primary urinary bladder alteration related to MS is most likely the cause? Flaccid bladder Spastic bladder Interstitial cystitis Vesicoureteral reflux

Spastic bladder

What is the complete but temporary loss of motor, sensory, reflex, and autonomic function following spinal cord injury? Septic shock Spinal shock Neurogenic shock Hypovolemic shock

Spinal shock

A patient's medical record notes a narrowing of the spinal canal and nerve roots. The patient experiences back pain and numbness in the feet. Which disorder does the nurse suspect the patient is most likely experiencing? Scoliosis Spinal stenosis Spondylolisthesis Herniated nucleus pulposus (HNP)

Spinal stenosis

What term describes back pain associated with narrowing of the spinal canal, nerve root canals, or intervertebral foramina? Lordosis Scoliosis Spinal shock Spinal stenosis

Spinal stenosis

Which intervention does the nurse include in education for the patient to prevent low back pain and injury? Stop smoking. Wear high-heeled shoes. Keep weight more than 20% above ideal. Avoid activity like swimming and walking

Stop smoking.

What should the nurse do first for a patient receiving ziconotide for chronic back pain who is experiencing disorganized thinking and hallucinations? Stop the medication. Pull the spinal infusion catheter. Reorient to person, place, and time. Request emergency antipsychotic medication.

Stop the medication.

The nurse performing an assessment on a patient 6 hours postoperative for diskectomy notices the presence of clear drainage from the incision site. The nurse suspects the drainage may be cerebrospinal fluid (CSF) and evaluates the patient for which accompanying sign/symptom? Sudden headache Nausea and vomiting Decerebrate posturing Change in level of consciousness

Sudden headache

What lab value should be assessed in patients taking oral immunomodulating drugs? Platelets Potassium Hemoglobin White blood cells

White blood cells

Which statement is true regarding the use of opioid analgesics in the treatment of acute low back pain? -They are the primary treatment option. -They should be used and combined with oral steroids. -They should be used initially, and then the patient should begin nonsteroidal drugs. -They are no more effective than nonsteroidal analgesics and should be avoided.

They are no more effective than nonsteroidal analgesics and should be avoided.

Which statement about spinal cord injuries is correct? They are usually caused by falls. They occur mostly in young males. They occur mostly in African-Americans. The thoracic level is the location of most injuries.

They occur mostly in young males.

More than a third of spinal cord injuries (SCIs) result from which cause? Falls Vehicle crashes Gunshot wounds Sport-related accidents

Vehicle crashes

What mechanism of spinal cord injury may result from diving accidents, falls on the buttocks, or a jump in which a person lands on the feet? Hyperflexion Hyperextension Excessive rotation Vertical compression

Vertical compression

The nurse assesses a 30-year-old patient diagnosed with multiple sclerosis (MS). Which symptom does the nurse expect to find? Vision changes Flaccid muscles Tremors at rest Absent deep tendon reflexes

Vision changes

The nurse provides care for a patient admitted with multiple sclerosis (MS). Which symptoms does the nurse expect to find when assessing the patient? Select all that apply. Vision loss Difficulty walking Long-term memory loss Numbness in extremities Urinary bladder dysfunction

Vision loss Difficulty walking Numbness in extremities Urinary bladder dysfunction