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. The first priority is to assess whether the numbness and tingling in the left leg are new or a preexisting symptom. This helps identify if there are complications like nerve injury or issues with the surgical site.

B. While documenting the findings is important, it’s more critical to compare these new symptoms with preoperative findings to identify potential complications.

C. Drawing blood for serum calcium is not directly relevant to the immediate issue of nerve symptoms after a laminectomy.

D. Telling the client that the symptoms are normal could lead to delayed intervention if there is a more serious issue, like nerve damage or surgical complications.

A. Use adductor pillow while in bed B. Limit hip flexion to 90 degrees C. Use fracture pan D. Avoid adduction E. Avoid Internal rotation

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

Explanation

A. An adductor pillow helps maintain proper alignment and prevents the hip from crossing the midline (adduction).

B. Limiting hip flexion to 90 degrees prevents dislocation by avoiding positions that could stress the hip joint.

C. A fracture pan is not a necessary precaution for a total hip replacement; it is more relevant for clients with fractures.

D. Adduction should be avoided to prevent the hip from dislocating.

E. Internal rotation can cause the hip to dislocate, so it should be avoided.

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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 assessing a client on the first post-operative day after a L3-4 laminectomy and diskectomy. The client now complains of numbness and tingling in the left leg. What is the nurse's first priority?

Correct Answer is A

Explanation

The patient is post-op day 1 of a right total hip replacement. What precautions are necessary to prevent complications? (SELECT ALL THAT APPLY).

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

Explanation

The nurse is caring for a client who has remained in skeletal traction for an extended period of time. The nurse is assessing for signs/symptoms of complications of immobility. Included would be: (SELECT ALL THAT APPLY)

A client with systemic lupus erythematosis has a history of tuberculosis exposure that has been treated. Which medication should the nurse question as possible cause for the lupus symptoms?

A client develops an inflamed. very painful right great toe overnight and the physician diagnoses gout. Treatment with colchicine is begun at 0.6 mg PO every two hours. For which side effect of this drug should the nurse assess?

A patient with fluid volume deficit must receive a 250 mL IV bolus of NS over 25 minutes via a peripherally inserted central line (PICC) on an IV pump. At what rate will the nurse program the pump? Round to the nearest whole number. Do not use trailing zeros.

Post total joint replacement, the patient needs for the joint to heal prior to sexual activity. What position is best for the patient after a total joint replacement of the hip?

Which are examples of primary prevention techniques to decrease falls that the nurse could suggest for older adults who are living in their own homes? (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)

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