A client diagnosed with cervical spine degeneration has undergone a laminectomy. Which intervention should the nurse implement?

Measure the drainage from the Jackson Pratt every day.

Position the client prone with the knees slightly elevated.

Encourage the client to postpone the use of narcotic medications.

Assess the client for difficulty speaking or breathing.

Answer and Explanation

The Correct Answer is D

A. Measuring drainage from the Jackson-Pratt drain is important, but this is not the primary intervention to address post-laminectomy complications.

B. The patient should generally be positioned in a neutral, stable position, but not specifically prone with knees elevated, which may be uncomfortable or inappropriate for the cervical region.

C. Narcotics may be required for pain control, especially postoperatively, so advising the patient to avoid them is inappropriate.

D. Following a cervical spine laminectomy, the nurse should assess the client for any signs of nerve or spinal cord injury, such as difficulty speaking or breathing. These symptoms may indicate spinal cord compression or other complications.

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Correct Answer is A

Explanation

A. Black, tarry stools indicate gastrointestinal bleeding, a common side effect of NSAIDs.

B. Constipation is not a typical side effect of NSAIDs.

C. Nasal congestion is unrelated to NSAID use.

D. Weight loss is not a primary concern with NSAID use but may result from prolonged gastrointestinal issues.

A. raising the right leg on pillows B. reducing activity. C. applications of ice to the right ankle. D. applying traction to the right leg. E. use of an ACE bandage or other wrap

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

Explanation

A. Elevating the leg helps reduce swelling by promoting venous return and decreasing fluid accumulation.

B. Reducing activity helps prevent further injury and allows the healing process to begin.

C. Applying ice helps reduce swelling and pain in the acute phase of a sprain.

D. Traction is typically not used for a sprained ankle unless there is a fracture or more severe injury, which is not typical for sprains.

E. An ACE bandage or wrap provides compression, which helps control swelling and supports the injured area.

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A client diagnosed with cervical spine degeneration has undergone a laminectomy. Which intervention should the nurse implement?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a client who is experiencing acute back pain and who was given a medical prescription for a nonsteroidal anti-inflammatory agent (NSAID). The nurse would monitor the client for which symptom?

Correct Answer is A

Explanation

Your neighbor returns home from the Emergency Department following treatment for a right ankle sprain and asks you, a nurse, to explain what will happen now that he is home. You recognize that continuing short term treatment will most likely include: (SELECT ALL THAT APPLY)

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

Explanation

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