A client describes low back pain that radiates down one leg. Which factors that aggravate the pain increase the likelihood that this client has a herniated disc? (SELECT ALL THAT APPLY)
Dancing
Sneezing and coughing
Lifting a box from a top shelf
Prolonged standing or sitting
Lying down
Correct Answer : B,C,D
A. Dancing, although it can involve movement and stress on the body, is not as directly associated with aggravating a herniated disc compared to the other listed factors.
B. Sneezing and coughing can increase intra-abdominal pressure and aggravate a herniated disc by putting more stress on the affected area of the spine.
C. Lifting a heavy box from a high position requires bending and twisting, which can exacerbate a herniated disc.
D. Prolonged standing or sitting can increase pressure on the spine, especially in the lower back, and aggravate symptoms of a herniated disc.
E. Lying down generally relieves pressure on the spine and is less likely to aggravate a herniated disc.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. Vitamin D absorption is more directly influenced by sunlight exposure and dietary intake.
B. Walking, a weight-bearing exercise, helps stimulate bone formation and maintain bone density.
C. Walking does not influence estrogen levels, which are primarily related to hormonal changes.
D. Although walking can aid in weight loss, its primary benefit in this context is improving bone health.
Correct Answer is ["D","E"]
Explanation
A. Inflammation of the lungs: This is not associated with osteoarthritis but could indicate other conditions such as rheumatoid arthritis or systemic diseases.
B. Tender and warm joints: These are more typical of inflammatory conditions like rheumatoid arthritis.
C. Nodules on the skin: Nodules are common in rheumatoid arthritis, not osteoarthritis.
D. Pain and stiffness of joints: Osteoarthritis is characterized by joint pain and stiffness, especially after inactivity or overuse.
E. Swelling of joints affected: Swelling occurs due to inflammation and changes in the joint structure associated with osteoarthritis.
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