Client with a herniated disk

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Which position would be most comfortable for a client with a ruptured disc at L5 to S1 right? A) Prone B) supine with the legs flexed C) high Fowlers D) right sims

B supine with the leg flexed

A client has low back pain. What should the nurse instruct the client to avoid doing? A)Keep light objects below the level of the elbows when lifting. B) Leaning forward while bending at the knees. C) Exceeding the prescribed exercise program. D) Sleeping on the side with legs flex.

C exceeding the prescribed exercise program

A client is discharged with the following prescription for seven we are back pain from a herniated intravertebral disc; Hydrocodeine 5 mg, acetaminophen 500 mg, 1/2 to one tablet by mouth every 8 to 12 hours as needed. How should the nurse instructed client to follow this prescription? A) Start with 1/2 tablet and take one every 12 hours. B) Start with 1/2 tablet and take one every eight hours. C) Start with one tablet and then take one every eight hours. D) Start with one tablet and take one every 12 hours.

A Start with a half tablet I'll take one every 12 hours

A male client underwent a lumbar spinal fusion yesterday. Which nursing assessment should alert the nurse to the development of a possible complication? A) Lateral rotation of the head neck B) clear yellowish fluid on the dressing C) use of the standing position to void D) nonproductive cough

B Clear yellowish fluid on the dressing

A client tells the nurse about having numbness from the back of the left buttocks to the Dotson of the foot and big toe. The client is scheduled to undergo a laminectomy, set forms states they left lumbar laminectomy L3 to L4 for. What should the nurse to do next? A) Have the client sign the consent form. B) Call the surgeon. C) Change the consent form. D) Review the clients history.

B call the surgeon

After the nurse teaches a client about wearing a back brace after a spinal fusion, which statement indicates effective teaching? A) I will apply lotion before putting on the brace. B)I will be sure to pad the area around my iliac crest. C) I can use baby powder under the brace to absorb perspiration. D) I should wear a thin cotton undershirt under the brace.

D I said where is then cotton undershirt under the brace

The nurse is developing a discharge plan for the client after a lumbar laminectomy L4-L5. What action should the nurse encouraged the client to avoid when returning to work in six weeks? A)Placing 1 foot on a stepstool during prolonged standing. B)Sleeping on the back with support under the knees. C) maintaining average weight for height. D) Sitting whenever possible.

D sitting whenever possible

Laminectomy, the client states, Doctor said that I can do anything I want to. Which activity that the client intends to do indicates a need further teaching? A) Drying the dishes B) sitting outside on firm cushions C) making the bed walking from side to side D) sweeping the front porch porch

D sweeping the front porch

A client who has had a lumbar with a spinal fusion is setting in a chair. Which is the correct position for the client? A)With the feet flat on the floor B) on a low footstool C) in any comfortable position with legs uncrossed D) on a high footstool so that feet are level with the chair

A With the feet flat on the floor

The nurse developed a teaching plan for a client scheduled for a spinal fusion. What should the nurse tell the client? A)The client will typically experience more pain at the donor site than the infusion site. B) The surgeon will apply a simple gauze dressing to the donor site. C)Neurovascular checks are unnecessary if the fibula is the donor site. D) the clients level of activity restriction is determined by the amount of pain.

A The client will typically experience for pain at the donor site than at fusion site

The nurse is observing a client who is recovering from back strain list a box as shown below what should the nurse do? A) Praise the client for using correct body mechanics. B) Suggest to the client to put both knees on the floor before attempting to wrap the box. C) Advise the client to bend from the waist rather than stretching the back in this position. D) Instruct the client to keep the back straight by squatting with both knees parallel.

A praise the client for using correct body mechanics

Immediately after a lumbar laminectomy, the nurse administered ondansetron hydrochloride to the client as prescribed. The nurse determined that the drug is affective when which sign is controlled? A) Muscle spasms B) nausea C) shivering D) dry mouth

B nausea

Ruptured into vertebrae's desk L4 to L5 stands with a flattened spine slightly tilted forward to the affected side. How should the nurse interpret this finding? A) Monitor changes. B) postural deformity C) Alteration in reflexes. D)Sensory changes

B postural deformity


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