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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
Choice A rationale
A 5% deficit in body weight and increased caloric need alone do not warrant the initiation of parenteral nutrition (PN). PN is typically reserved for situations where oral or enteral feeding is not feasible or safe.
Choice B rationale
Significant risk of aspiration and decreased level of consciousness may necessitate alternative feeding methods, such as enteral feeding via a nasogastric or gastrostomy tube. PN is considered when enteral feeding is not possible.
Choice C rationale
Calorie deficit, muscle wasting, and low electrolyte levels indicate malnutrition, but PN is initiated when other feeding methods are inadequate or unsafe.
Choice D rationale
Inability to take in adequate oral food or fluids within 7 days is a clear indication for initiating PN. This ensures the patient receives essential nutrients and prevents further deterioration of their nutritional status.
Correct Answer is C
Explanation
Choice A rationale
Damage to Broca's area of the left frontal lobe does not typically affect balance. Balance is more associated with the cerebellum and inner ear structures.
Choice B rationale
Hearing is processed primarily in the temporal lobe, not in Broca's area of the frontal lobe. Damage to Broca's area does not typically impact hearing.
Choice C rationale
Broca's area is responsible for speech production and language processing. Damage to this area can result in Broca's aphasia, characterized by difficulty in speaking and writing but with relatively preserved comprehension.
Choice D rationale
Vision is primarily processed in the occipital lobe. Damage to Broca's area does not affect vision.
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