A client has been diagnosed with radiculopathy due to a herniated disc in the lumbar spine. The nurse should instruct the client to avoid which of the following activities? (Select all that apply.)

Bending forward at the waist.

Lifting heavy objects.

Sitting for prolonged periods.

Swimming or water aerobics.

Walking or jogging.

Answer and Explanation

Correct Answer : A,B,C

Choice A reason:

This is correct because bending forward at the waist can increase the pressure on the spinal discs and nerve roots, which can worsen radiculopathy symptoms.

Choice B reason:

This is correct because lifting heavy objects can also increase the pressure on the spinal discs and nerve roots, as well as strain the back muscles and ligaments, which can worsen radiculopathy symptoms.

Choice C reason:

This is correct because sitting for prolonged periods can reduce blood flow to the spinal discs and nerve roots, which can impair healing and worsen radiculopathy symptoms.

Choice D reason:

This is incorrect because swimming or water aerobics can be beneficial for clients with radiculopathy, as they can reduce stress on the spine, improve flexibility and strength, and relieve pain.

Choice E reason:

This is incorrect because walking or jogging can also be beneficial for clients with radiculopathy, as they can improve blood flow to the spine, enhance mood and well-being, and prevent deconditioning.

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Correct Answer is C

Explanation

Choice A reason:

This is incorrect because wearing tight-fitting shoes can cause pressure ulcers, blisters, or infections in clients with peripheral neuropathy, who have reduced sensation and blood flow in their feet. The nurse should advise the client to wear well-fitting shoes with cushioned socks and avoid walking barefoot.

Choice B reason:

This is incorrect because using a heating pad can cause burns or skin damage in clients with peripheral neuropathy, who have impaired temperature perception and pain sensation in their affected areas. The nurse should advise the client to avoid exposure to extreme heat or cold and use other methods to relieve pain, such as medications, massage, or acupuncture.

Choice C reason:

This is the correct answer because inspecting the skin daily for cuts, blisters, or ulcers can help prevent infection and complications in clients with peripheral neuropathy, who have reduced sensation and healing ability in their affected areas. The nurse should advise the client to wash their skin with mild soap and water, apply moisturizer, and report any signs of infection to their provider.

Choice D reason:

This is incorrect because taking vitamin B supplements can help prevent or treat peripheral neuropathy caused by vitamin B deficiency, which can occur in clients who receive chemotherapy. The nurse should advise the client to consult with their provider before taking any supplements and follow a balanced diet that includes foods rich in vitamin B, such as meat, eggs, dairy products, and fortified cereals.

A. Elevate the head of the bed to 30 degrees. B. Administer mannitol as prescribed. C. Monitor the client's intracranial pressure. D. All of the above.

Correct Answer is D

Explanation

Choice A reason:

This is correct because elevating the head of the bed to 30 degrees can help reduce intracranial pressure by facilitating venous drainage and decreasing cerebral blood volume.

Choice B reason:

This is correct because administering mannitol as prescribed can help reduce intracranial pressure by creating an osmotic gradient that draws fluid out of the brain tissue and into the bloodstream.

Choice C reason:

This is correct because monitoring the client's intracranial pressure can help detect any signs of increased intracranial pressure or cerebral herniation, which can be life-threatening complications of cerebral edema.

Choice D reason:

This is correct because all of the above interventions are appropriate for a client who has ischemic stroke and is at risk for cerebral edema.

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A client has been diagnosed with radiculopathy due to a herniated disc in the lumbar spine. The nurse should instruct the client to avoid which of the following activities? (Select all that apply.)

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is providing education to a client who has peripheral neuropathy due to chemotherapy. The nurse should include which of the following instructions in the teaching plan?

Correct Answer is C

Explanation

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Correct Answer is D

Explanation

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