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Management Of Clients With Peripheral Nervous System Disorders

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Question 1
Free
Multiple Choice

The client hospitalized for severe lumbar disk pain asks the nurse to equip his bed with a trapeze. In response to this request, the nurse should

Choose correct answer/s
A

apply the trapeze mount to the bed.

B

call the physician for an order for the trapeze.

C

delay applying the trapeze mount until the client is more comfortable.

D

explain that a trapeze is contraindicated because it promotes twisting.

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Question 2
Free
Multiple Choice

On the second postoperative day following herniated disk surgery, the client says, "My legs are numb. I thought surgery was going to fix my problems." The nurse's best response to explain the continued pain is

Choose correct answer/s
A

"Because of the surgery, there is some swelling, which should subside."

B

"This pain is from the anesthesia and will subside by this afternoon."

C

"This pain is positional and will subside if you roll over on your side."

D

"You are probably moving around too much. I will raise the knee gatch."

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Question 3
Free
Multiple Choice

The spouse of a client who suffers from chronic back pain is exasperated by the client's crankiness and sarcastic way of talking. The nurse should base a response to the spouse based on the knowledge that

Choose correct answer/s
A

chronic pain can lead to depression and personality changes.

B

clients with back pain often become addicted to narcotics.

C

often spouses are not supportive and this frustrates the clients.

D

when clients are non-compliant with treatment plans, they often act out.

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Question 4
Free
Multiple Choice

In performing a neurologic evaluation of a client who had lumbar surgery 36 hours ago, it is important that the nurse assess

Choose correct answer/s
A

ability to move shoulders.

B

leg movement.

C

level of consciousness.

D

reflex response.

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Question 5
Free
Multiple Choice

On the first postoperative day, a client who had a cervical surgery requests the bedpan often, but cannot void. Based on these observations, the nurse should

Choose correct answer/s
A

assess for bladder distention.

B

assess for manifestations of urinary tract infection.

C

document this outcome as normal.

D

increase fluid intake.

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Question 6
Multiple Choice

Before the administration of the first dose of carbamazepine (Tegretol) to a client with trigeminal neuralgia, the nurse should

Choose correct answer/s
A
assess the client's deep tendon reflexes.
B
check the client's blood pressure.
C
determine if the client abuses alcohol.
D
remind the client to remain in bed for 20 minutes after receiving the drug.
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Question 7
Multiple Choice

A client with Bell's palsy tells the nurse that s/he is very depressed about having the disease. The most informative response from the nurse would be

Choose correct answer/s
A
"Bell's palsy can be treated successfully with medication."
B
"I understand how you feel; it is difficult to live with a chronic disease."
C
"Surgery has been very successful in improving the problem."
D
"The symptoms are likely to disappear or get better within a few weeks."
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Question 8
Multiple Choice

The nurse conducting an admission interview for a client with a herniated lumbar disk would be certain to ask the client about a history of

Choose correct answer/s
A
abdominal trauma.
B
developmental problems of the spine.
C
history of meningitis.
D
previous back injury.
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Question 9
Multiple Choice

A client's medical record notes a forward slipping of the L5 vertebra. The nurse expects that the diagnosis at the end of the report will state

Choose correct answer/s
A
back strain.
B
disk herniation.
C
lordosis.
D
spondylolisthesis.
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Question 10
Multiple Choice

The nurse should assess a client who has had unrelieved trigeminal neuralgia for the past 6 months for

Choose correct answer/s
A
alcohol consumption.
B
suicidal ideation.
C
vocational rehabilitation.
D
weight gain.
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Question 11
Multiple Choice

The nurse would assist the client with low back pain resulting from herniated lumbar disk into the position of

Choose correct answer/s
A
either to the right or left side with knees straight.
B
prone with a very small pillow under the head.
C
side-lying with knees flexed.
D
supine with head elevated 90 degrees.
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Question 12
Multiple Choice

When the client who had a cervical spinal fusion this morning complains of a sudden radicular pain, the nurse is

Choose correct answer/s
A
alerted because this indicates possible infection.
B
concerned because this indicates possible meningitis.
C
distressed because of the possible need to repeat the surgery.
D
relieved because this indicates a reduction in edema.
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Question 13
Multiple Choice

A client with acute disk herniation began using ice for analgesia along with medication therapy. The nurse explains that the client will be switched to heat therapy after

Choose correct answer/s
A
24 hours.
B
48 hours.
C
72 hours.
D
96 hours.
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Question 14
Multiple Choice

The nurse would recommend that the habit that should be modified to reduce the incidence of back pain is

Choose correct answer/s
A
eating a high-fiber diet.
B
mild exercise three times a week.
C
sitting for long periods, rather than standing.
D
using leg muscles when lifting.
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Question 15
Multiple Choice

The nurse explains that the client diagnosed with a spinal tumor will receive

Choose correct answer/s
A
radiation and/or chemotherapy.
B
radiation therapy and/or immunotherapy.
C
surgery and/or chemotherapy.
D
surgery and/or radiation therapy.
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Question 16
Multiple Choice

The nurse would question a client with suspected trigeminal neuralgia about facial pain that is

Choose correct answer/s
A
characterized by intermittent episodes of severe pain with gradual onset.
B
characterized by intermittent episodes of severe pain with sudden onset.
C
constant and aching or burning in nature.
D
constant, severe, and sharp in nature.
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Question 17
Multiple Choice

The nurse would instruct a client who has undergone microvascular decompression surgery of the trigeminal nerve to

Choose correct answer/s
A
chew on the affected side of the mouth.
B
eat foods that are very warm or very cold for better taste.
C
resume a full diet immediately.
D
use a water jet device instead of a toothbrush.
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Question 18
Multiple Choice

The nurse points out the physical therapy modality that would be avoided in the treatment for a client with Bell's palsy is

Choose correct answer/s
A
cold packs.
B
facial nerve stimulation with faradic current.
C
gentle massage.
D
moist heat.
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Question 19
Multiple Choice

Important discharge instructions for the client with a cervical disk problem being discharged with a cervical collar include

Choose correct answer/s
A
ambulate carefully to avoid falls.
B
perform active range-of-motion exercises four times daily.
C
release the Velcro strap every 2 hours while awake.
D
wash the collar with mild soap and water daily.
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Question 20
Multiple Choice

The nurse instructs a group of secretaries that which activities could prevent carpal tunnel syndrome?

Choose correct answer/s
A
Getting up and walking every hour
B
Routine use of nonsteroidal anti-inflammatory medication
C
Splinting and elevation of the hand
D
Worksite evaluation and modifications
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