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Quiz

Exemplar 13.1: Back Problems

Olivia McRitchie 15 perguntas

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Perguntas do quiz (15)

  1. 1You are teaching an elderly female with osteoarthritis about her risk of herniating a disc. Which of the following statements made by the patient shows that she understands the teaching?
    1. A"Because I am old and have osteoarthritis, I am at risk for gradual herniation."
    2. B"If I think I have suffered a herniation, I should simply call my doctor and wait for an appointment."
    3. C"I am more likely to suffer a hernia in a thoracic disc."
    4. D"Smoking has nothing to do with potential for spine herniation."
  2. 2You have a 45-year-old male patient in your office. He is an elementary school teacher, and he is concerned because he's been having a burning, tingling pain in his left "butt cheek" that radiates all the way down into his left foot, as well as leg weakness. The pain is especially bad when he's walking. He's been taking ibuprofen, but it isn't working.

    Which of the following statements might you make to him?
    1. A"I highly suggest you go to the hospital. it sounds like you may have cauda equina syndrome."
    2. B"It sounds like you might have sciatica. I would tell your doctor so he can do some imaging."
    3. C"It sounds like you herniated a lumbar disc. I would advise you to go to the hospital because that can cause permanent paralysis."
    4. D"It sounds like you herniated a lumbar disc. This should heal on its own over time."
  3. 3A 20-year-old female patient was in a car crash. She is in a lot of pain, but she is awake, alert, and responsive. During questioning, she complains to you that her lower back hurts worse than anything else. Concerned, you ask her if she felt her catheter go in, and she said that she doesn't feel anything in her genital region.

    Which of the following actions do you do FIRST?
    1. AReport the signs and symptoms to the physician.
    2. BOrder a CT scan for the patient.
    3. CAdminister 4 mg of morphine in an IV injection.
    4. DChange the patient's position in bed
  4. 4Cervical disc herniation does not result in symptoms in the lower body.
    1. AVerdadeiro
    2. BFalso
  5. 5Your patient is about to undergo a myelogram, but she is nervous about the test because she's never heard of it before. Which of the following statements made by you, the nurse, is correct teaching?
    1. A"The doctor will inject you with a safe dye and take you down to X-ray."
    2. B"Your doctor will stick electrodes on your head and body to see the electrical activity of the muscles."
    3. C"Your doctor will stick needles into your muscles to measure speed and efficacy of nerve impulses."
    4. D"During this test, your muscles will be visualized at rest and during contraction."
  6. 6Your student nurse is caring for a patient pre-op for a discectomy. The student nurse has no clue what this surgery is though. Select the statements that would be accurate teaching for your student.
    1. A"Your patient is going into surgery to have the part of the vertebra that covers the spinal canal removed."
    2. B"The point to this surgery is to enlarge the spinal canal and relieve pressure on the nerves."
    3. C"Your patient will be undergoing surgery to remove all or part of a herniated disc."
    4. D"A laminectomy or laminotomy may also be performed with the discectomy."
    5. E"The herniated disc will be removed and replaced with an artificial one."
  7. 7Which of the following statements about a spinal fusion surgery is INCORRECT?
    1. AIt is performed to join 2 or more vertebrae together.
    2. BBone grafts, screws, and rods are used to join the vertebrae.
    3. CFusing the spine prevents motion between the 2 vertebrae, which reduces pain.
    4. DBone grafts are usually taken from a donor, meaning that rejection is the main nursing implication for this surgery.
    5. EAn alternative to this surgery is placing an artificial disc.
  8. 8Select the medications that may be used to treat neuropathic pain.
    1. AGabapentin (Neurontin)
    2. BPregabalin (Lyrica)
    3. CDuloxetine (Cymbalta)
    4. DDiazepam (Valium)
    5. EBaclofen (Lioresal)
    6. FCyclobenzaprine (Ameix, Flexeril)
  9. 9Select the medications that would be used to reduce muscle spasms.
    1. ADiazepam (Valium)
    2. BBaclofen (Lioresal)
    3. CCyclobenzaprine (Amrix, Flexeril)
    4. DGabapentin (Neurontin)
    5. EPregabalin (Lyrica)
    6. FDuloxetine (Cymbalta)
  10. 10Which of the following statements is important and accurate teaching for a patient taking baclofen, cyclobenzaprine, or diazepam for muscle spasms?
    1. A"Take this drug as prescribed; if you don't, it could cause you to go into cardiac or respiratory arrest."
    2. B"It is safe for you to return to your job as a construction worker."
    3. C"You can still drink while taking this drug."
    4. D"This drug may cause mood changes."

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Descrição
NCLEX Nursing (Medical-Surgical) Quiz sobre Exemplar 13.1: Back Problems, criado por Olivia McRitchie em 19-11-2018.
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English
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