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?

Bend the knees and support the back.

Move the hips and legs first, then the upper body.

Have the client help by pulling on the side rail.

Turn the client as one unit without twisting the spine

Answer and Explanation

The Correct Answer is D

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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Correct Answer is D

Explanation

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.

A. Swan-neck deformities of the fingers B. Swollen, painful knee joint with bony enlargement. C. Large painful, hot right great toe D. Hot red, swollen elbow joint

Correct Answer is B

Explanation

A. Swan-neck deformities are associated with rheumatoid arthritis, not osteoarthritis.

B. Osteoarthritis often presents with joint swelling, pain, and the formation of bony enlargements, particularly at the knees.

C. A painful, hot right great toe suggests gout, not osteoarthritis.

D. Hot, red, swollen joints are characteristic of inflammation in conditions like rheumatoid arthritis, not osteoarthritis.

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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?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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?

Correct Answer is D

Explanation

A nurse is caring for a client with osteoarthritis. The nurse should expect which findings with this disease process?

Correct Answer is B

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?

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