A nurse is collecting data from a client who has a herniated intervertebral cervical disc. Which of the following findings should the nurse expect? (Select all that apply.)
Neck stiffness
Pain in the neck
Low back pain
Shoulder pain
Tingling in the arms
Correct Answer : A,B,D,E
A. Neck stiffness is a common symptom of a herniated cervical disc due to irritation of the surrounding tissues and nerve roots.
B. Pain in the neck is one of the hallmark symptoms of a cervical disc herniation, as the disc presses on the nerves in the cervical spine.
C. Low back pain is typically associated with lumbar disc herniation, not cervical disc herniation. A herniated cervical disc would more likely cause symptoms in the neck, shoulders, and arms.
D. Shoulder pain is a common symptom of a herniated cervical disc because the nerves that are compressed in the cervical spine also innervate the shoulders.
E. Tingling in the arms is a common symptom of a herniated cervical disc, as the disc can compress the nerves that supply sensation to the arms, leading to numbness and tingling.
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Correct Answer is B
Explanation
A. Weakness in the lower body is not an accurate description of paraplegia. Paraplegia refers to the loss of function, not just weakness.
B. Paraplegia refers to the loss of motor and sensory function in the lower body, including the legs, due to a spinal cord injury, typically below the level of the injury. This is the most accurate response.
C. Temporary loss of motor and sensory functions is more characteristic of conditions like spinal shock, not paraplegia. Paraplegia refers to permanent impairment following spinal cord injury.
D. The description of loss of movement from the neck down is characteristic of quadriplegia (or tetraplegia), not paraplegia, which specifically involves the lower body.
Correct Answer is B
Explanation
A. 700: This is incorrect, check the calculation in choice D rationale
B. 660: This is incorrect, check the calculation in choice D rationale
C. 900: This is incorrect, check the calculation in choice D rationale
D. To calculate the total intake, we need to convert all fluid measurements to milliliters (mL) and then add them together:
- Coffee: 240 mL
- Milk: 60 mL
- Apple juice: 120 mL
- Broth: 8 oz = 240 mL (1 oz = 30 mL)
- Water: 10 oz = 300 mL (1 oz = 30 mL)
Now, add them together:
240 mL (coffee) + 60 mL (milk) + 120 mL (apple juice) + 240 mL (broth) + 300 mL (water) = 960 mL.
Thus, the total intake is 960 mL, which corresponds to D.
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