Try Naxlex NCLEX-RN (Free-Trial)

A client who has lumbar radiculopathy due to spinal stenosis is scheduled for an interventional procedure to relieve their symptoms. The nurse explains to the client that they will receive an injection of a steroid and a local anesthetic into the epidural space of their spine. The client asks the nurse, "How will this help me?" Which of the following responses should the nurse give?

"The steroid will reduce the inflammation and swelling of the nerve root, which will decrease your pain and improve your function."

"The local anesthetic will block the transmission of pain signals from the nerve root to your brain, which will provide you with temporary relief."

"The combination of steroid and local anesthetic will shrink the size of the disc or bone spur that is compressing the nerve root, which will restore your mobility and sensation."

"The injection will deliver medication directly to the affected area of your spine, which will have fewer side effects than oral or intravenous medications."

Answer and Explanation

The Correct Answer is A

Choice A reason:

This is the correct answer because epidural steroid injections are used to treat radiculopathy by reducing inflammation and edema of the nerve root, which can relieve radicular pain and improve neurological function.

Choice B reason:

This is incorrect because local anesthetic alone can provide temporary pain relief by blocking nerve conduction, but it does not address the underlying cause of radiculopathy, which is nerve root compression.

Choice C reason:

This is incorrect because steroid and local anesthetic do not have any effect on the size or shape of the disc or bone spur that is compressing the nerve root. They only reduce inflammation and pain.

Choice D reason:

This is incorrect because although epidural injections may have fewer systemic side effects than oral or intravenous medications, they still have some risks and complications, such as infection, bleeding, nerve damage, or spinal headache.

Nursing Test Bank

Quiz #1: RN Exams Pharmacology Exams Quiz #2: RN Exams Medical-Surgical Exams Quiz #3: RN Exams Fundamentals Exams Quiz #4: RN Exams Maternal-Newborn Exams Quiz #5: RN Exams Anatomy and Physiology Exams Quiz #6: RN Exams Obstetrics and Pediatrics Exams Quiz #7: RN Exams Fluid and Electrolytes Exams Quiz #8: RN Exams Community Health Exams Quiz #9: RN Exams Promoting Health across the lifespan Exams Quiz #10: RN Exams Multidimensional care Exams

Get 100+ Naxlex Exit Exams for $79 Try Naxlex NCLEX-RN (14 Day Free-Trial)

Naxlex Comprehensive Predictor Exams

Quiz #1: Naxlex RN Comprehensive online practice 2019 B with NGN Quiz #2: Naxlex RN Comprehensive Predictor 2023 Quiz #3: Naxlex RN Comprehensive Predictor 2023 Exit Exam A Quiz #4: Naxlex HESI Exit LPN Exam Quiz #5: Naxlex PN Comprehensive Predictor PN 2020 Quiz #6: Naxlex VATI PN Comprehensive Predictor 2020 Quiz #8: Naxlex PN Comprehensive Predictor 2023 - Exam 1 Quiz #10: Naxlex HESI PN Exit exam Quiz #11: Naxlex HESI PN EXIT Exam 2

Free Nursing Study Resources

Correct Answer is D

Explanation

Choice A reason:

This is a correct statement, as the PNS consists of cranial and spinal nerves that connect the CNS to the rest of the body and transmit sensory and motor signals.

Choice B reason:

This is a correct statement, as the PNS is divided into two subdivisions: the somatic nervous system (SNS) and the autonomic nervous system (ANS).

Choice C reason:

This is a correct statement, as the PNS controls voluntary movements of skeletal muscles and provides sensory feedback from the skin, joints, and muscles through the SNS.

Choice D reason:

This is an incorrect statement, as this is the function of the ANS, which is a subdivision of the PNS. The ANS regulates involuntary functions of smooth muscles, cardiac muscles, and glands through its two branches: the sympathetic nervous system (SNS) and the parasympathetic nervous system (PNS).

A. "I can move my arm and leg on the affected side better than before." B. "I can speak more clearly and understand what others are saying." C. "I can swallow without choking or coughing." D. All of the above.

Correct Answer is D

Explanation

Choice A reason:

This is correct because improved movement of the arm and leg on the affected side indicates an improvement in motor function, which can be impaired by ischemic stroke.

Choice B reason:

This is correct because improved speech and comprehension indicate an improvement in language function, which can be impaired by ischemic stroke, especially if it affects the dominant hemisphere.

Choice C reason:

This is correct because improved swallowing indicates an improvement in cranial nerve function, which can be impaired by ischemic stroke, especially if it affects the brainstem.

Choice D reason:

This is correct because all of the above statements indicate an improvement in functional recovery, which is the goal of rehabilitation for clients who have ischemic stroke.

View Question and Answer

Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.

Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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?

Correct Answer is D

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?

Correct Answer is D

Explanation

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.)

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?

A nurse is caring for a client who has multiple sclerosis (MS). Which of the following statements by the client indicates an understanding of this condition?

A nurse is providing education to a client who has peripheral neuropathy due to chemotherapy. The nurse should include which of the following instructions in the teaching plan?

A nurse is educating a client who has a history of ischemic stroke about modifiable risk factors. Which of the following risk factors should the nurse include in the teaching? (Select all that apply.)

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?