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concept of nursing 1
Intervertebral Disc Disease
Question | Answer |
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A nurse is caring for an older adult patient and suspects the patient may have a herniated disc. Which signs/symptoms are indicative of a herniated disc? | -Pain -Numbness -Leg weakness |
The nurse is providing orientation to a new graduate who is caring for a patient with a herniated disc. The graduate asks, “What is a disc herniation?” Which is the appropriate response by the nurse? | “The nucleus pulposus has bulged out through an opening in the annulus fibrosus.” |
The nurse would most likely expect to see vertebral discs break down in which region of the spine? | Lumbar |
When preparing to care for a patient with intervertebral disc disease, what should the nurse plan to tell the patient to do in order to maintain proper body mechanics? | Sit upright while seated at a desk |
The nurse is providing health education to a patient who is scheduled for disc replacement. Which information should the nurse include in the teaching plan about the procedure? | Disc replacement will reduce, but not eliminate, pain. |
A patient being prepared for a laminectomy tells the nurse, “I only took six days off from work to recover. Will that be enough time?” Which response by the nurse is appropriate? | “It may take a few weeks to fully recover from the surgery. Six days may not be enough time.” |
The nurse is caring for a patient who has undergone cervical spine surgery. Which findings should prompt the nurse to implement immediate life-saving measures? | -Dyspnea -Nasal flaring |
The nurse is assessing the dressing of patient after completion of lumbar spine surgery and notes yellow-tinged drainage. After further examination, the nurse documents that the patient has a headache with a rating of seven on a pain scale of one to 10. | -- |
Which action is most appropriate action for the nurse to take next? | Notify the health care provider immediately |
The medical-surgical charge nurse receives a patient in the postanesthetic care unit after successful completion of spinal fusion. The patient is still sedated and is assigned to a staff nurse. | -- |
The unit charge nurse intervenes when the staff nurse prepares to give which prescription to the patient? | Diazepam, 2.5 mg, by mouth |