NURS 2040 EXAM 2 QUESTIONS AND CORRECT DETAILED
ANSWERS (VERIFIED ANSWERS) |ALREADY GRADED
A+||BRAND NEW!!
Low back pain Ans✓✓✓-acute or chronic
-localized or diffuse
-radicular or referred
Factors contributing to low back pain:
Trauma, changes in vertebral support, malalignment, vascular changes,
intervertebral disk disease
Clinical manifestations of low back pain Ans✓✓✓-Muscle aches
-shooting stabbing pain
-Decreased ROM
-inability to stand upright *L4-L5 most flexible but most often cause of
injury.
Scoliosis Ans✓✓✓-Congenital, neuromuscular, idopathic.
DX and treatment:
-history and physical
-observation
-treatment
-surgery
Conservative therapy of scoliosis Ans✓✓✓Positioning
,Drug Therapy
Cold/Heat Therapy (caution w/ patients w/ sensory issues)
Physical Therapy
Weight Control
Complimentary/Alternative Therapy
Epidural injections *if curvature is greater than 40% surgical
intervention is required.
Surgical management of scoliosis Ans✓✓✓Minimally Invasive Surgery
Percutaneous Lumbar Diskectomy
Intradiscal Electrothermoplasty (IDET)
Conventional Open Surgical Procedures
Diskectomy
Laminectomy
Spinal Fusion
Post-Op care of Scoliosis Surgery Ans✓✓✓Maintain proper alignment
of spine
Pain control
Neurologic assessment; vital signs (very important)
GI and Gu assessment
,Wound care
Discharge teaching
Home care management
Community resources
Complications of open traditional lumbar spine surgery Ans✓✓✓CSF
Leak
Acute Urinary Retention
Paralytic Ileus
Fat Embolus
Persistent/Progressive Lumbar Radiculopathy (nerve Damage)
*prohpylactic antibiotics often used post op
Health promotion and maitenance of low back pain Ans✓✓✓-good
posture
-proper lifting
-exercise
-ergonomics
-equipment that can be used.
Conservative treatement of cervical neck pain Ans✓✓✓-Neck exercises
-soft collars
-heat/ice
-massage
, -rest
-NSAIDS
Surgical management of neck pain Ans✓✓✓Anterior cervical
diskectomy
Fusion
Complications of Surgery
• Hoarseness
• Temporary dysphagia
• Esophageal, tracheal, or vertebral artery injury
• Wound infection
• Injury to the spinal cord or nerve roots
• Dura mater tears with associated cerebrospinal fluid leaks
• Pseudoarthrosis
• Screws dislodgeme
Goals and prevention of cervical neck pain Ans✓✓✓Avoid prolonged
sitting
Proper spinal alignment
Prevent Jarring movement during exercise
ANSWERS (VERIFIED ANSWERS) |ALREADY GRADED
A+||BRAND NEW!!
Low back pain Ans✓✓✓-acute or chronic
-localized or diffuse
-radicular or referred
Factors contributing to low back pain:
Trauma, changes in vertebral support, malalignment, vascular changes,
intervertebral disk disease
Clinical manifestations of low back pain Ans✓✓✓-Muscle aches
-shooting stabbing pain
-Decreased ROM
-inability to stand upright *L4-L5 most flexible but most often cause of
injury.
Scoliosis Ans✓✓✓-Congenital, neuromuscular, idopathic.
DX and treatment:
-history and physical
-observation
-treatment
-surgery
Conservative therapy of scoliosis Ans✓✓✓Positioning
,Drug Therapy
Cold/Heat Therapy (caution w/ patients w/ sensory issues)
Physical Therapy
Weight Control
Complimentary/Alternative Therapy
Epidural injections *if curvature is greater than 40% surgical
intervention is required.
Surgical management of scoliosis Ans✓✓✓Minimally Invasive Surgery
Percutaneous Lumbar Diskectomy
Intradiscal Electrothermoplasty (IDET)
Conventional Open Surgical Procedures
Diskectomy
Laminectomy
Spinal Fusion
Post-Op care of Scoliosis Surgery Ans✓✓✓Maintain proper alignment
of spine
Pain control
Neurologic assessment; vital signs (very important)
GI and Gu assessment
,Wound care
Discharge teaching
Home care management
Community resources
Complications of open traditional lumbar spine surgery Ans✓✓✓CSF
Leak
Acute Urinary Retention
Paralytic Ileus
Fat Embolus
Persistent/Progressive Lumbar Radiculopathy (nerve Damage)
*prohpylactic antibiotics often used post op
Health promotion and maitenance of low back pain Ans✓✓✓-good
posture
-proper lifting
-exercise
-ergonomics
-equipment that can be used.
Conservative treatement of cervical neck pain Ans✓✓✓-Neck exercises
-soft collars
-heat/ice
-massage
, -rest
-NSAIDS
Surgical management of neck pain Ans✓✓✓Anterior cervical
diskectomy
Fusion
Complications of Surgery
• Hoarseness
• Temporary dysphagia
• Esophageal, tracheal, or vertebral artery injury
• Wound infection
• Injury to the spinal cord or nerve roots
• Dura mater tears with associated cerebrospinal fluid leaks
• Pseudoarthrosis
• Screws dislodgeme
Goals and prevention of cervical neck pain Ans✓✓✓Avoid prolonged
sitting
Proper spinal alignment
Prevent Jarring movement during exercise
