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 B

Explanation

A. Lupus is associated with a higher risk of autoimmune conditions, including Scleroderma.

B. A male working as a teacher is less likely to have occupational or genetic predispositions for Scleroderma.

C. Chemical exposure can increase the risk of developing Scleroderma.

D. A family history of Scleroderma raises the genetic risk of developing the condition.

A. Risk for falls B. Knowledge deficient regarding disease process C. Risk for skin breakdown D. Limited mobility

Correct Answer is A

Explanation

A. Severe kyphosis and osteoporosis increase the risk of falls, which can lead to fractures, making fall prevention the highest priority.

B. While important, education is not the immediate priority compared to preventing falls.

C. Skin breakdown is a concern but is not as critical as the immediate risk of injury from falls.

D. Limited mobility is a concern but secondary to the risk of falls.

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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

The nurse is assessing clients for their risk of developing Scleroderma. Which of these clients should the nurse consider at lowest risk?

Correct Answer is B

Explanation

The nurse caring for a patient who has severe osteoporosis. On inspection, the patient has severe kyphosis of the upper back. Which nursing problem takes priority for this patient's care?

Correct Answer is A

Explanation

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

A client asks the nurse why the physician has advised her to walk for 30 minutes three times a week to help prevent osteoporosis. The nurse's best response is that walking:

A client fractured the right ankle which was casted with a plaster of Paris cast. Before discharge, the nurse gives instructions for cast care. Which statement made by the client indicates that further teaching is needed?

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?

A client describes low back pain that radiates down one leg. Which factors that aggravate the pain increase the likelihood that this client has a herniated disc? (SELECT ALL THAT APPLY)

The client has had a total hip replacement. The nurse teaches the client about safe positions for the client for sexual intercourse. These include: (SELECT ALL THAT APPLY)

Which statement made by the client to the nurse indicates a precipitating factor associated with pain?

A client with osteoarthritis of the left knee will undergo an injection of corticosteroids into the joint. The nurse notes that the primary reason for this injection is to: