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. The primary purpose of administering an osmotic diuretic, such as mannitol, is to lower ICP by promoting diuresis, which results in increased urinary output and decreases fluid volume in the brain.
B. Osmotic diuretics do not specifically reduce cerebral blood flow; rather, they work by reducing fluid volume and thus intracranial pressure.
C. While osmotic diuretics can help manage edema, their primary role is not solely to prevent the formation of cerebral edema but to actively reduce existing pressure.
D. Osmotic diuretics do not directly decrease brain oxygen consumption; their main function is to create an osmotic gradient that pulls fluid from the brain to reduce ICP.

A. Report dizziness at once. B. Get up slowly, turning the entire body. C. Drive in daylight hours only. D. Change your position using the logroll technique.

Correct Answer is B

Explanation

A. While reporting dizziness is important, it does not directly aid in managing vertigo episodes.
B. Instructing the client to get up slowly while turning their entire body helps to reduce vertigo symptoms by minimizing head movement, which can trigger or worsen dizziness in Meniere’s disease.
C. Driving is not recommended during symptomatic periods of vertigo, as it could be unsafe.
D. The logroll technique is typically used for clients with spinal issues rather than vertigo management in Meniere’s disease.

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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 preparing to administer an IV osmotic diuretic to a client with increased intracranial pressure (ICP). Which of the following should the nurse identify as the purpose of the medication?

Correct Answer is A

Explanation

A nurse is providing teaching to a client with Meniere's disease. The nurse recognizes that which of the following instructions should be given to the client regarding vertigo?

Correct Answer is B

Explanation

A nurse is caring for a client who has elevated parathyroid hormone levels (PTH). The nurse is aware that the client is at high risk for which condition?

A nurse is caring for a client 4 hours following surgical repair of a penetrating brain injury. Which of the following assessments should be the nurse's priority?

A nurse is assessing a client diagnosed with diabetes insipidus. The nurse should expect which of the following assessment findings?

A nurse in the emergency department is monitoring a client who has a cervical spinal cord injury from a fall. The nurse should monitor the client for which of the following complications? Select all that apply.

A nurse in a clinic is reviewing the laboratory values of a client who has primary hypothyroidism. The nurse should anticipate an elevation of which of the following laboratory values?

A nurse is assessing a client with a history of Addison's disease admitted for surgery. The nurse is aware that which of the following is an expected assessment finding?

A nurse is in the emergency department (ED) and is caring for a client that has arrived by ambulance after a cervical spinal cord injury. Which assessment should be the priority for the nurse to perform at this time?

A nurse is providing education regarding the adrenal cortex production of mineralocorticoids. The nurse should include that mineralocorticoids influence which of the following?