A nurse is discussing discharge instructions to a client with a lumbar herniated disk and is prescribed a conservative treatment. The nurse provides instructions based on this treatment plan and suggests which of the following.

Reducing body weight.

Avoiding painful positions.

Attending physical and chiropractic therapy as prescribed.

Taking nonsteroidal anti-inflammatory drugs (NSAIDs) as prescribed.

Taking corticosteroids as prescribed.

Answer and Explanation

Correct Answer : A,B,C,D

A. Reducing body weight can relieve pressure on the lumbar spine, which can help decrease pain and improve function.
B. Avoiding painful positions helps prevent exacerbation of symptoms and protects the affected area.
C. Physical therapy is an important part of conservative treatment to strengthen supporting muscles, improve flexibility, and promote recovery. Chiropractic therapy may be recommended but should be guided by a physician's recommendation.
D. NSAIDs are commonly prescribed to manage inflammation and relieve pain associated with lumbar herniated disks.
E. Corticosteroids may be prescribed in some cases but are generally not part of initial conservative management unless inflammation is severe and not managed by NSAIDs.

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Correct Answer is A

Explanation

A. Baked fish is rich in iodine, which supports thyroid function and can be beneficial for clients with hypothyroidism. Iodine is necessary for thyroid hormone production.
B. Tuna salad may contain iodine, but it is not as reliable a source as baked fish and may also contain added fats.
C. Bran flakes are high in fiber, which can interfere with the absorption of thyroid medications.
D. Cantaloupe, while nutritious, does not provide significant levels of iodine or nutrients that directly support thyroid function.

A. Restriction of fluids B. Maintain client NPO C. Increase oral intake D. Infuse IV fluids rapidly

Correct Answer is A

Explanation

A. In SIADH, excess ADH causes water retention and hyponatremia; fluid restriction helps to prevent further dilution of sodium and manage fluid balance.
B. NPO status is unnecessary unless otherwise indicated; managing fluid intake is more effective.
C. Increasing oral intake would worsen fluid overload and hyponatremia.
D. Rapid IV fluid infusion can exacerbate the client’s condition by increasing fluid volume further.

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A nurse is discussing discharge instructions to a client with a lumbar herniated disk and is prescribed a conservative treatment. The nurse provides instructions based on this treatment plan and suggests which of the following.

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is assisting a client diagnosed with hypothyroidism with meal planning. Which of the following foods should the nurse recommend that the client add to the diet?

Correct Answer is A

Explanation

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Correct Answer is A

Explanation

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