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

Answer and Explanation

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.

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Correct Answer is D

Explanation

A. Obtaining a walker does not address the acute neurological symptoms.

B. Applying a diaper addresses the incontinence but not the underlying cause.

C. Inserting a Foley catheter manages urinary incontinence but delays necessary evaluation.

D. Notifying the physician is critical as these symptoms suggest cauda equina syndrome, a surgical emergency.

A. Enzymatic medication B. Oxygen therapy C. Anti-coagulation therapy D. Physical therapy E. "Safe gradual weight loss will decrease stress on your joints."

Correct Answer is B

Explanation

A. Enzymatic medications are not relevant to this condition.

B. Oxygen therapy is critical as these symptoms suggest fat embolism syndrome, which impairs oxygenation.

C. Anticoagulation therapy is not appropriate for fat embolism syndrome, which differs from thromboembolism.

D. Physical therapy is not an immediate intervention for this acute condition.

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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)

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A client has been treated for low back pain which radiates down the posterior right leg. The client now has a new onset of urinary and bowel incontinence and weakness in both lower extremities. What is the nurse's first action?

Correct Answer is D

Explanation

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Correct Answer is B

Explanation

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