Herniated Disc Practice Questions And
Answers
Ahnursehwhohworkshonhthehorthopedichunithhashjusthreceivedhchange-of-
shifthreport.hWhichhpatienthshouldhthehnursehassesshfirst?
a.hPatienthwhohreportshfoothpainhafterhhammertoehsurgery
b.hPatienthwhohhashnothvoidedh10hhourshafterhahlaminectomy
c.hPatienthwithhlowhbackhpainhandhahpositivehstraight-leg-raisehtest
d.hPatienthwithhosteomyelitishwhohhashahtemperaturehofh100.5°hFh(38.1°hC)h-
hCORRECThhANSWER-ANS:hB
Difficultyhinhvoidinghmayhindicatehdamagehtohthehspinalhnerveshandhshouldhbehassessedhan
dhreportedhtohthehsurgeonhimmediately.hThehinformationhabouththehotherhpatientshishconsist
enthwithhtheirhdiagnoses.hThehnursehwillhneedhtohassesshthemhashquicklyhashpossible,hbutht
hehinformationhabouththemhdoeshnothindicatehahneedhforhimmediatehintervention.
Ahpatienthwhosehemploymenthrequireshfrequenthliftinghhashahhistoryhofhchronichbackhpain.hA
fterhthehnursehhashtaughththehpatienthabouthcorrecthbodyhmechanics,hwhichhpatienthstatem
enthindicateshthehteachinghhashbeenheffective?
a.h"IhwillhkeephmyhbackhstraighthwhenhIhlifthabovehthanhmyhwaist."
b.h"Ihwillhbeginhdoinghexerciseshtohstrengthenhandhsupporthmyhback."
c.h"IhwillhtellhmyhbosshIhneedhahjobhwherehIhcanhstayhseatedhathahdesk."
d.h"Ihcanhsleephwithhmyhhipshandhkneeshextendedhtohpreventhbackhstrain."h-
hCORRECThhANSWER-ANS:hB
Exerciseshcanhhelphstrengthenhthehmuscleshthathsupporththehback.hFlexionhofhthehhipshandh
kneeshplaceshlesshstrainhonhthehbackhthanhkeepinghthesehjointshextended.hSittinghforhprolon
gedhperiodshcanhaggravatehbackhpain.hModificationshinhthehwayhthehpatienthliftshboxeshareh
needed,hbuththehpatienthshouldhnothlifthabovehthehlevelhofhthehelbows.
Afterhlaminectomyhwithhahspinalhfusionhtohtreathahherniatedhdisc,hahpatienthreportshnumbnes
shandhtinglinghofhthehrighthlowerhleg.hThehfirsthactionhthehnursehshouldhtakehishto
Answers
Ahnursehwhohworkshonhthehorthopedichunithhashjusthreceivedhchange-of-
shifthreport.hWhichhpatienthshouldhthehnursehassesshfirst?
a.hPatienthwhohreportshfoothpainhafterhhammertoehsurgery
b.hPatienthwhohhashnothvoidedh10hhourshafterhahlaminectomy
c.hPatienthwithhlowhbackhpainhandhahpositivehstraight-leg-raisehtest
d.hPatienthwithhosteomyelitishwhohhashahtemperaturehofh100.5°hFh(38.1°hC)h-
hCORRECThhANSWER-ANS:hB
Difficultyhinhvoidinghmayhindicatehdamagehtohthehspinalhnerveshandhshouldhbehassessedhan
dhreportedhtohthehsurgeonhimmediately.hThehinformationhabouththehotherhpatientshishconsist
enthwithhtheirhdiagnoses.hThehnursehwillhneedhtohassesshthemhashquicklyhashpossible,hbutht
hehinformationhabouththemhdoeshnothindicatehahneedhforhimmediatehintervention.
Ahpatienthwhosehemploymenthrequireshfrequenthliftinghhashahhistoryhofhchronichbackhpain.hA
fterhthehnursehhashtaughththehpatienthabouthcorrecthbodyhmechanics,hwhichhpatienthstatem
enthindicateshthehteachinghhashbeenheffective?
a.h"IhwillhkeephmyhbackhstraighthwhenhIhlifthabovehthanhmyhwaist."
b.h"Ihwillhbeginhdoinghexerciseshtohstrengthenhandhsupporthmyhback."
c.h"IhwillhtellhmyhbosshIhneedhahjobhwherehIhcanhstayhseatedhathahdesk."
d.h"Ihcanhsleephwithhmyhhipshandhkneeshextendedhtohpreventhbackhstrain."h-
hCORRECThhANSWER-ANS:hB
Exerciseshcanhhelphstrengthenhthehmuscleshthathsupporththehback.hFlexionhofhthehhipshandh
kneeshplaceshlesshstrainhonhthehbackhthanhkeepinghthesehjointshextended.hSittinghforhprolon
gedhperiodshcanhaggravatehbackhpain.hModificationshinhthehwayhthehpatienthliftshboxeshareh
needed,hbuththehpatienthshouldhnothlifthabovehthehlevelhofhthehelbows.
Afterhlaminectomyhwithhahspinalhfusionhtohtreathahherniatedhdisc,hahpatienthreportshnumbnes
shandhtinglinghofhthehrighthlowerhleg.hThehfirsthactionhthehnursehshouldhtakehishto
