NCLEX-RN Questions With Accurate Answers.
laminectomy - accurate answers-the surgical removal of a lamina, or posterior
portion, of a vertebra
Cervical Laminectomy - accurate answers-Neck
Thoracic Laminectomy - accurate answers-Upper back
Lumbar Laminectomy - accurate answers-Lower back
Pre-op assessment: Cervical Laminectomy - accurate answers-Innervates the
diaphragm and arms
-need to check breathing and function of arms and hands
Pre-op assessment: Thoracic Laminectomy - accurate answers-Innervates the
abdominal muscles and gut muscles
-need to check cough mechanism and bowels
Pre-op assessment: Lumbar Laminectomy - accurate answers-Innervates the
bladder and legs
-need to check last time of void and function of legs
Post-op laminectomy considerations - accurate answers-#1 answer is log
rolling
-do not "dangle"- sit on edge of bed
-do not sit down for longer than 30 minutes
Post-op complications: Cervical - accurate answers-PNA
Post-op complications: Thoracic - accurate answers-PNA and ileus
Post-op complications: Lumbar - accurate answers-Urinary retention and
problems with legs
Temporary Discharge Teaching for Laminectomy - accurate answers--Do not
sit for longer than 30 mins
-Lie flat and log roll for 6 weeks
-No driving for 6 weeks
-Do not lift more than 5 pounds for 6 weeks
, Permanent Discharge Teaching for Laminectomy - accurate answers--Do not
bend at waist: bend with knees
-Do not lift things over head for rest of life
-No jerky car rides, roller coasters, or bike rides
5 D's - accurate answers--ph in 6's
-K+ in 6's
-CO2 in the 60's
-PO2 in the 60's
-Plts in the <40,000s
PH in the 6's - accurate answers--Assess vitals (pt is going down-resp)
-Need to get physician to determine the cause
-Stay with the patient
K+ in the 6's - accurate answers--hold all K+
-assess the heart
-prepare to give Kayexalate and D5W with insulin
-Call MD
-Stay with patient
CO2 in the 60s - accurate answers--Resp Failure
-Prepare to intubate and ventilate
-Stay with pt
-Call RT and MD
PO2 in the 60s - accurate answers--O2 to make comfortable (lessen anxiety)
-Assess pt (VS)
-Prepare to intubate and ventilate
-Call RT and Call MD
Platelets <40,000 - accurate answers--Prepare transfusion
-Call MD
Level C's - accurate answers--INR 4+
-low K+ (5.3-5.9)
-HGB less than 8
-CO2 high (45-59)
laminectomy - accurate answers-the surgical removal of a lamina, or posterior
portion, of a vertebra
Cervical Laminectomy - accurate answers-Neck
Thoracic Laminectomy - accurate answers-Upper back
Lumbar Laminectomy - accurate answers-Lower back
Pre-op assessment: Cervical Laminectomy - accurate answers-Innervates the
diaphragm and arms
-need to check breathing and function of arms and hands
Pre-op assessment: Thoracic Laminectomy - accurate answers-Innervates the
abdominal muscles and gut muscles
-need to check cough mechanism and bowels
Pre-op assessment: Lumbar Laminectomy - accurate answers-Innervates the
bladder and legs
-need to check last time of void and function of legs
Post-op laminectomy considerations - accurate answers-#1 answer is log
rolling
-do not "dangle"- sit on edge of bed
-do not sit down for longer than 30 minutes
Post-op complications: Cervical - accurate answers-PNA
Post-op complications: Thoracic - accurate answers-PNA and ileus
Post-op complications: Lumbar - accurate answers-Urinary retention and
problems with legs
Temporary Discharge Teaching for Laminectomy - accurate answers--Do not
sit for longer than 30 mins
-Lie flat and log roll for 6 weeks
-No driving for 6 weeks
-Do not lift more than 5 pounds for 6 weeks
, Permanent Discharge Teaching for Laminectomy - accurate answers--Do not
bend at waist: bend with knees
-Do not lift things over head for rest of life
-No jerky car rides, roller coasters, or bike rides
5 D's - accurate answers--ph in 6's
-K+ in 6's
-CO2 in the 60's
-PO2 in the 60's
-Plts in the <40,000s
PH in the 6's - accurate answers--Assess vitals (pt is going down-resp)
-Need to get physician to determine the cause
-Stay with the patient
K+ in the 6's - accurate answers--hold all K+
-assess the heart
-prepare to give Kayexalate and D5W with insulin
-Call MD
-Stay with patient
CO2 in the 60s - accurate answers--Resp Failure
-Prepare to intubate and ventilate
-Stay with pt
-Call RT and MD
PO2 in the 60s - accurate answers--O2 to make comfortable (lessen anxiety)
-Assess pt (VS)
-Prepare to intubate and ventilate
-Call RT and Call MD
Platelets <40,000 - accurate answers--Prepare transfusion
-Call MD
Level C's - accurate answers--INR 4+
-low K+ (5.3-5.9)
-HGB less than 8
-CO2 high (45-59)
