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A client has been treated for low back pain which radiates down the posterior right leg. The client now has a new onset of urinary and bowel incontinence and weakness in both lower extremities. What is the nurse's first action?

Obtain a walker for ambulation

Apply a diaper

Insert a Foley catheter

Notify the physician

Answer and Explanation

The Correct Answer is D

A. Obtaining a walker does not address the acute neurological symptoms.

B. Applying a diaper addresses the incontinence but not the underlying cause.

C. Inserting a Foley catheter manages urinary incontinence but delays necessary evaluation.

D. Notifying the physician is critical as these symptoms suggest cauda equina syndrome, a surgical emergency.

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

Explanation

A. Physical activity should be encouraged to maintain mobility, not limit it.

B. A bed cage can help alleviate pain by preventing linens from touching sensitive areas.

C. Osteoarthritis involves the breakdown of cartilage, not an autoimmune attack on the joint lining.

D. Injectable corticosteroids are used when NSAIDs are ineffective.

E. Gradual weight loss reduces stress on weight-bearing joints, alleviating symptoms.

A. Bend the knees and support the back. B. Move the hips and legs first, then the upper body. C. Have the client help by pulling on the side rail. D. Turn the client as one unit without twisting the spine

Correct Answer is D

Explanation

A. While bending the knees helps with body mechanics, twisting the spine should still be avoided.

B. Moving the hips and legs first could lead to twisting the spine if not done correctly, so the spine must be kept aligned during all movements.

C. The client should avoid pulling on side rails or assisting with movement until fully cleared by the physician, as this could put unnecessary strain on the spine.

D. It is essential to maintain spinal alignment and prevent twisting of the spine during repositioning. The client should be turned as one unit to minimize strain on the healing vertebrae.

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A client has been treated for low back pain which radiates down the posterior right leg. The client now has a new onset of urinary and bowel incontinence and weakness in both lower extremities. What is the nurse's first action?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Which of these education points would be MOST helpful for the nurse give to a individual with osteoarthritis? (SELECT ALL THAT APPLY).

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

Explanation

A nurse is caring for a client with a herniated disc who has undergone a lumbar laminectomy and diskectomy at L4-5. When assisting the client to move in bed, the nurse should include what specific technique?

Correct Answer is D

Explanation

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