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 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. Enzymatic medication B. Oxygen therapy C. Anti-coagulation therapy D. Physical therapy E. "Safe gradual weight loss will decrease stress on your joints."

Correct Answer is B

Explanation

A. Enzymatic medications are not relevant to this condition.

B. Oxygen therapy is critical as these symptoms suggest fat embolism syndrome, which impairs oxygenation.

C. Anticoagulation therapy is not appropriate for fat embolism syndrome, which differs from thromboembolism.

D. Physical therapy is not an immediate intervention for this acute condition.

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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 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 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?

Correct Answer is B

Explanation

A nurse is teaching a client about avoiding a gout attack. In evaluating the client's recall of a low purine diet, which dietary choice would indicate to the nurse that the client needs more teaching?

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