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.

Answer and Explanation

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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Correct Answer is A

Explanation

Choice A rationale

Bone densitometry is a non-invasive test that measures bone mineral density (BMD). It helps to identify the presence of osteoporosis and assess fracture risk by comparing the patient's bone density to that of a healthy young adult. Low BMD indicates higher fracture risk. This test is essential for monitoring osteoporosis progression and guiding treatment decisions.

Choice B rationale

Arthrography involves injecting contrast dye into a joint before imaging with X-ray or MRI. It evaluates joint structures, such as cartilage, ligaments, and capsules, but it is not specifically designed to measure bone density or assess fracture risk.

Choice C rationale

A bone scan involves injecting a small amount of radioactive material into the bloodstream, which accumulates in areas of high bone activity. It detects bone abnormalities, such as fractures, infections, or tumors. However, it is not used for assessing bone density or fracture risk.

Choice D rationale

Arthroscopy is a minimally invasive surgical procedure that allows direct visualization of joint structures using a small camera. It is primarily used for diagnosing and treating joint problems, such as torn ligaments or cartilage, but it does not assess bone density or fracture risk.

A. Normal. B. Decorticate. C. Decerebrate. D. Flaccid.

Correct Answer is B

Explanation

Choice A rationale

Normal posture involves relaxed and symmetrical positioning of the limbs without any abnormal flexion or extension.

Choice B rationale

Decorticate posturing is characterized by abnormal flexion of the upper extremities at the elbows and wrists, and extension of the lower extremities, often indicating damage to the corticospinal tract.

Choice C rationale

Decerebrate posturing involves extension and outward rotation of both the arms and legs, indicating damage to the brain stem, which is more severe than decorticate posturing.

Choice D rationale

Flaccid posture refers to a complete lack of muscle tone and resistance, often seen in severe cases of neurological damage or after a stroke. .

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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?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Correct Answer is A

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Correct Answer is B

Explanation

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