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 A

Explanation

Choice A reason:

This is the correct answer because Spurling's test is used to diagnose cervical radiculopathy by reproducing radicular pain with neck extension, lateral flexion, and compression. A positive result indicates nerve root compression by a herniated disc, osteophyte, or other lesion.

Choice B reason:

This is incorrect because straight leg raise test is used to diagnose lumbar radiculopathy by reproducing radicular pain with hip flexion and knee extension. A positive result indicates nerve root compression by a herniated disc or other lesion in the lower back.

Choice C reason:

This is incorrect because Tinel's sign is used to diagnose peripheral neuropathy by reproducing tingling or paresthesia with tapping over a damaged nerve. A positive result indicates nerve regeneration or irritation by a scar, tumor, or other lesion.

Choice D reason:

This is incorrect because Phalen's test is used to diagnose carpal tunnel syndrome by reproducing numbness or tingling in the median nerve distribution with wrist flexion for 60 seconds. A positive result indicates median nerve compression by a thickened flexor retinaculum or other lesion in the wrist.

A. Atherosclerosis B. Atrial fibrillation C. Cerebral aneurysm D. Arteriovenous malformation

Correct Answer is A

Explanation

Choice A reason:

This is the correct answer because atherosclerosis is the main cause of ischemic stroke, as it leads to the formation of plaques that narrow the cerebral arteries and reduce blood flow to the brain.

Choice B reason:

This is incorrect because atrial fibrillation is a risk factor for ischemic stroke, but not the most common cause. Atrial fibrillation can cause embolic stroke, which occurs when a blood clot from the heart travels to the brain and blocks a cerebral artery.

Choice C reason:

This is incorrect because cerebral aneurysm is a cause of hemorrhagic stroke, not ischemic stroke. Cerebral aneurysm is a weak spot in a cerebral artery that can rupture and bleed into the brain.

Choice D reason:

This is incorrect because arteriovenous malformation is also a cause of hemorrhagic stroke, not ischemic stroke. Arteriovenous malformation is a congenital abnormality of the blood vessels in the brain that can leak or burst and cause bleeding.

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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.)

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Naxlex Comprehensive Predictor Exams

Correct Answer is A

Explanation

A nurse is reviewing the medical history of a client who has ischemic stroke. Which of the following conditions is the most common cause of ischemic stroke?

Correct Answer is A

Explanation

A nurse is evaluating the outcomes of a client who has ischemic stroke and has received rehabilitation. Which of the following statements by the client indicates an improvement in functional recovery?

A nurse is caring for a client who has a seizure disorder. The client asks the nurse how seizures occur. Which of the following responses by the nurse is appropriate?

A nurse is planning care for a client who has ischemic stroke and is at risk for cerebral edema. Which of the following interventions should the nurse include in the plan?

A nurse is teaching a client about the functions of the central nervous system (CNS). Which of the following statements by the client indicates a need for further teaching?

A nurse is teaching a client who has peripheral neuropathy about foot care. Which of the following statements by the client indicates an understanding of the teaching?

A nurse is caring for a client who has ischemic stroke and is receiving thrombolytic therapy with recombinant tissue plasminogen activator (rtPA). Which of the following actions should the nurse take? (Select all that apply.)

A nurse is reviewing the anatomy of the peripheral nervous system (PNS) with a group of nursing students. Which of the following statements by a student indicates a need for further teaching?