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 ["B","C","E"]

Explanation

A. A diet high in fiber is important to prevent constipation, a common side effect of opioid use.

B. Adequate fluid intake helps to prevent dehydration and constipation.

C. Taking a stool softener daily can help mitigate the constipating effects of opioids.

D. While dizziness can occur, clients should be encouraged to maintain an appropriate level of activity with precautions.

E. Taking the opioid with a full glass of water and sitting upright can help prevent esophageal irritation and ensure proper swallowing of the medication.

A. Hypotension B. Heartburn C. Fever D. Gout

Correct Answer is C

Explanation

A. Hypotension is not associated with SLE exacerbation.

B. Heartburn is not a trigger for SLE flares.

C. Fever can indicate infection or inflammation, common triggers for SLE exacerbations.

D. Gout is unrelated to SLE exacerbation.

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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

Which of the following teaching instructions should be included for the patient with newly prescribed opioid analgesic for pain? (SELECT ALL THAT APPLY).

Correct Answer is ["B","C","E"]

Explanation

The nurse teaches a client that which factor might increase the risk of developing an exacerbation of systemic lupus erythematous (SLEP

Correct Answer is C

Explanation

Which statement made by the client to the nurse indicates a precipitating factor associated with pain?

A client is receiving IV fluids at 100 ml per hour. The nurse is told in report at 1200 that there are 500 ml left in the bag. At what time should the nurse expect to hang a new bag? Report the time in military time.

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A client with rheumatoid arthritis is prescribed infliximab 3 mg/kg IV. The most essential addition to the client's care plan is to:

The client has had a total hip replacement. The nurse teaches the client about safe positions for the client for sexual intercourse. These include: (SELECT ALL THAT APPLY)

A client with arthritis is prescribed ibuprofen 800 mg PO TID for pain reduction in the knee. The nurse should instruct the client to report which of the following side effects to the physician? (SELECT ALL THAT APPLY)

When the nurse admits a client with anorexia nervosa for treatment, what factors should the therapeutic milieu provide? (SELECT ALL THAT APPLY)

A client with traumatic injuries has a comminuted open fracture of the femur that has been placed in an external fixator. The nurse recognizes that compartment syndrome is associated with which clinical assessment finding?