A client has undergone a laminectomy and diskectomy at L3-4 and L4-5 with spinal fusion at those levels. Postoperatively the nurse would expect to include in the client's care which of the following?

Use of a Foley catheter for ease of urinary elimination

Use of a cane for ambulation

Application of heat to the surgical area

Back brace to be applied before getting out of bed

Answer and Explanation

The Correct Answer is D

A. A Foley catheter is used postoperatively if the client is unable to void, but its use should be temporary, not for ease of elimination long-term.

B. A cane may be needed for ambulation after recovery, but immediately postoperatively, focus is on spinal stability.

C. Heat application is generally not recommended immediately after spinal surgery, as it could increase swelling and inflammation.

D. A back brace helps maintain spinal stability and prevents excessive movement that could disrupt the healing process after spinal fusion surgery.

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Correct Answer is D

Explanation

A. This description is more characteristic of osteoarthritis, where cartilage wear and tear occur.

B. This explanation is more related to chronic pain syndromes, not specifically RA.

C. The presence of crystals in the joint is a characteristic of gout, not RA.

D. Rheumatoid arthritis (RA) is an autoimmune condition in which the body’s immune system attacks the synovial lining of the joints, causing inflammation, pain, and eventually joint destruction.

A. bleeding disorders. B. a current infection. C. immobility. D. advanced osteoporosis. E. severe pain

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

Explanation

A. Bleeding disorders pose a risk of excessive bleeding during and after surgery.

B. An active infection can complicate the healing process and increase the risk of prosthetic joint infection.

C. While immobility may indicate a need for the surgery, it is not a contraindication.

D. Advanced osteoporosis can compromise the bone's ability to support the prosthetic, making surgery less viable.

E. Severe pain is one of the primary indications for considering hip replacement surgery.

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A client has undergone a laminectomy and diskectomy at L3-4 and L4-5 with spinal fusion at those levels. Postoperatively the nurse would expect to include in the client's care which of the following?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A client with newly diagnosed rheumatoid arthritis asks the nurse what happens to the joint with this disease. Which explanation by the nurse is most accurate?

Correct Answer is D

Explanation

A client is being considered for a total hip replacement. The nurse understands that contraindications for this procedure include: (SELECT ALL THAT APPLY)

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

Explanation

Which of the following teaching instructions should be included for the patient with newly prescribed opioid analgesic for pain? (SELECT ALL THAT APPLY).

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The nurse teaches a client that which factor might increase the risk of developing an exacerbation of systemic lupus erythematous (SLEP

The nurse is caring for a client who has sustained multiple injuries, including a fractured pelvis and femur. Two days later, the client becomes restless and confused. The nurse notes petechiae on the client's neck and chest. The nurse should expect which physician order?

A nurse is caring for a client who has an unrepaired femur fracture of the midshaft. Which of the following techniques should the nurse use when performing an assessment of the client's neurovascular status?

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 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?

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