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","C","D"]

Explanation

A. Placing commonly used items within easy reach minimizes the need for reaching or climbing, reducing fall risk.

B. Attendance at illness support groups is not directly related to fall prevention.

C. Removing small area rugs prevents tripping hazards.

D. Installing grab bars in the shower provides support and stability.

E. Screenings for blood pressure, cancer, and osteoporosis are secondary prevention measures, not primary prevention for falls.

A. "A cane is held on a client's weaker side for support." B. "Cane tips should have rubber caps and be in good repair to prevent slippage." C. "When using a walker, the client should first move the walker ahead approximately six inches, and then step into it." D. "Clients need to have at least partial strength in their hands, wrists, elbows, arms and shoulders to correctly use a standard walker." E. "When using crutches, the client's body weight should rest on the axillae."

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

Explanation

A. The cane should be held on the stronger side to support the weaker side.

B. Rubber caps prevent the cane from slipping, enhancing safety.

C. Moving the walker first provides stability before the client steps into it.

D. Adequate upper body strength is necessary to use a standard walker effectively.

E. Body weight should be supported on the hands, not the axillae, to avoid nerve damage.

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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

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Which are examples of primary prevention techniques to decrease falls that the nurse could suggest for older adults who are living in their own homes? (SELECT ALL THAT APPLY)

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

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A physical therapist is helping nursing students to understand the correct use of ambulatory devices. The students realize that the correct statement(s) made is/are: (SELECT ALL THAT APPLY)

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

Explanation

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