Degenerative/Herniated Disk Disease
Questions And Answers
Theh34-year-oldhmalehclienthpresentshtohthehoutpatienthclinichcomplaininghofhnumbness
andhpainhradiatinghdownhthehlefthleg.hWhichhfurtherhdatahshouldhthehnursehassess?
1.hPosturehandhgait.
2.hBendinghandhstooping.
3.hLeghliftshandharmhswing.
4.hWaisthtwistshandhneckhmobility.h-hCORRECThhANSWER-
1.hPosturehandhgaithwillhbehaffectedhifhthe
clienthishexperiencinghsciaticah(pain
radiatinghdownhahleghresultinghfrom
pressurehonhthehsciatichnerve).
Thehclienthdiagnosedhwithhcervicalhdiskhdegenerationhhashundergonehahlaminectomy.
Whichhinterventionshshouldhthehnursehimplement?
1.hPositionhthehclienthpronehwithhthehkneeshslightlyhelevated.
2.hAssesshthehclienthforhdifficultyhspeakinghorhbreathing.
3.hMeasurehthehdrainagehinhthehJacksonhPratthbulbheveryhday.
4.hEncouragehthehclienthtohpostponehthehusehofhnarcotichmedicationsh-
hCORRECThhANSWER-2.hThehsurgicalhpositionhofhthehwound
placeshthehclienthathriskhforhedemahof
tissueshinhthehneck.hDifficultyhspeaking
orhbreathinghshouldhalerththehnursehtoha
potentiallyhlife-threateninghproblem.
Thehclienthish12-hourshpost-lumbarhlaminectomy.hWhichhnursinghinterventionshshould
behimplemented?
1.hAssesshabilityhtohvoidhandhloghrollhthehclientheveryhtwoh(2)hhours.
2.hMedicatehwithhIVhsteroidshandhkeephthehbedhinhahTrendelenburghposition.
3.hPlacehsandbagshonheachhsidehofhthehheadhandhgivehcathartichmedications.
4.hAdministerhIVhanticoagulantshandhplacehonhO2hatheighth(8)hL/min.h-
hCORRECThhANSWER-1.hThehlumbarhnerveshinnervatehthehlower
Questions And Answers
Theh34-year-oldhmalehclienthpresentshtohthehoutpatienthclinichcomplaininghofhnumbness
andhpainhradiatinghdownhthehlefthleg.hWhichhfurtherhdatahshouldhthehnursehassess?
1.hPosturehandhgait.
2.hBendinghandhstooping.
3.hLeghliftshandharmhswing.
4.hWaisthtwistshandhneckhmobility.h-hCORRECThhANSWER-
1.hPosturehandhgaithwillhbehaffectedhifhthe
clienthishexperiencinghsciaticah(pain
radiatinghdownhahleghresultinghfrom
pressurehonhthehsciatichnerve).
Thehclienthdiagnosedhwithhcervicalhdiskhdegenerationhhashundergonehahlaminectomy.
Whichhinterventionshshouldhthehnursehimplement?
1.hPositionhthehclienthpronehwithhthehkneeshslightlyhelevated.
2.hAssesshthehclienthforhdifficultyhspeakinghorhbreathing.
3.hMeasurehthehdrainagehinhthehJacksonhPratthbulbheveryhday.
4.hEncouragehthehclienthtohpostponehthehusehofhnarcotichmedicationsh-
hCORRECThhANSWER-2.hThehsurgicalhpositionhofhthehwound
placeshthehclienthathriskhforhedemahof
tissueshinhthehneck.hDifficultyhspeaking
orhbreathinghshouldhalerththehnursehtoha
potentiallyhlife-threateninghproblem.
Thehclienthish12-hourshpost-lumbarhlaminectomy.hWhichhnursinghinterventionshshould
behimplemented?
1.hAssesshabilityhtohvoidhandhloghrollhthehclientheveryhtwoh(2)hhours.
2.hMedicatehwithhIVhsteroidshandhkeephthehbedhinhahTrendelenburghposition.
3.hPlacehsandbagshonheachhsidehofhthehheadhandhgivehcathartichmedications.
4.hAdministerhIVhanticoagulantshandhplacehonhO2hatheighth(8)hL/min.h-
hCORRECThhANSWER-1.hThehlumbarhnerveshinnervatehthehlower