A nurse is planning discharge education for a client who underwent a cervical discectomy. What strategies would the nurse assess that would aid in planning discharge teaching?
Techniques for performing neck range of motion (ROM) exercises.
Techniques for restoring nerve function.
Home assessment of arterial blood gases (ABGs).
Care of the cervical collar.
The Correct Answer is D
Choice A rationale
Techniques for performing neck ROM exercises might be relevant but are secondary to the immediate postoperative care following a cervical discectomy.
Choice B rationale
Restoring nerve function is a goal but not directly linked to discharge education strategies after cervical discectomy.
Choice C rationale
Home assessment of ABGs is not relevant to discharge education for a cervical discectomy, as it pertains more to respiratory status monitoring.
Choice D rationale
Care of the cervical collar is essential post-discectomy as it provides stability, reduces strain on the cervical spine, and supports the healing process, making it a critical part of discharge education.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
Choice A rationale
Fever is typically regulated by the hypothalamus, a part of the brain that controls body temperature. Dysfunction of the lower brain stem does not typically cause fever.
Choice B rationale
Visual disturbances are often related to issues with the visual cortex or optic pathways, which are not part of the lower brain stem.
Choice C rationale
Gait alteration is typically associated with dysfunction in the cerebellum or motor pathways, rather than the lower brain stem.
Choice D rationale
Hypoxia, or decreased oxygen levels, can be a critical concern with lower brain stem dysfunction as the lower brain stem controls vital autonomic functions such as respiration and heart rate.
Correct Answer is C
Explanation
Choice A rationale
Swallowing involves the glossopharyngeal and vagus nerves, not the trigeminal nerve. Thus, trigeminal neuralgia does not typically affect swallowing.
Choice B rationale
Smelling involves the olfactory nerve (cranial nerve I), not the trigeminal nerve (cranial nerve V). Therefore, trigeminal neuralgia does not affect the sense of smell.
Choice C rationale
Trigeminal neuralgia involves the trigeminal nerve, which is responsible for sensation in the face and motor functions such as biting and chewing. Therefore, chewing can be significantly affected.
Choice D rationale
Tasting involves the facial nerve (cranial nerve VII) and glossopharyngeal nerve (cranial nerve IX), not the trigeminal nerve. Thus, trigeminal neuralgia does not typically affect taste.
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