Exam 37: Coordinating Care for Patients With Spinal Cord Disorders

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Which statement by the patient with multiple sclerosis (MS) indicates the need for additional teaching?

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A

The nurse monitors for which clinical manifestation in the patient diagnosed with multiple sclerosis (MS)? Select all that apply.

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B,C,D

The nurse is reviewing orders written for a patient returning from surgery to remove a spinal cord tumor. Which order is the priority at this time?

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C

A patient with low back pain asks what nonmedical treatments can be used to help with the discomfort. Which complementary and alternative therapies does the nurse discuss with patient? Select all that apply.

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A patient with a herniated disk is prescribed conservative treatment. The nurse includes instruction in which activities based on this treatment plan? Select all that apply.

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A patient with multiple sclerosis experiences exacerbations of new symptoms that last a few days and then disappear. The nurse correlates these clinical manifestations to which type of multiple sclerosis?

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The nurse notes crusting of secretions around the pins of a patient with a halo device. What action is indicated for this finding?

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The nurse is concerned that a patient is at risk for a lumbar disk herniation. The nurse correlates this to which assessment data? Select all that apply.

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A patient with amyotrophic lateral sclerosis is prescribed riluzole (Rilutek). What statement by the patient indicates that further teaching is needed about this treatment?

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The nurse monitors for which clinical manifestations in the patient with low back pain secondary to radiculopathy? Select all that apply.

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The nurse provides care for a patient who is 4 hours postoperative after surgery to correct a herniated nucleus pulposus. Which assessment finding causes the nurse to notify the healthcare provider?

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A patient recently diagnosed with amyotrophic lateral sclerosis is having difficulty with swallowing and has been choking and coughing excessively at mealtimes. The nurse implements which action first?

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The nurse correlates which clinical manifestation to a definitive diagnosis of multiple sclerosis?

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The nurse directs a patient with a herniated disk to notify the healthcare provider immediately if the patient experiences which clinical manifestation?

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A patient is diagnosed with spinal stenosis. The nurse recognizes which clinical manifestation that is caused by age-related loss of spinal muscle strength?

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The nurse is caring for a patient with unrelenting low back pain caused by a herniated disk. What instruction does the nurse provide to this patient to help with the pain?

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A patient with low back pain asks why nerve conduction studies are prescribed. What explanation does the nurse provide to the patient relative to this diagnostic test?

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A patient has arrived by ambulance at the emergency department after a cervical spinal cord injury. Which assessment is a priority for the nurse to perform at this time?

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The nurse teaches a patient about computed tomography (CT scan) to diagnose a potential spinal cord disorder. Which patient statement indicates a correct understanding of the information presented?

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In providing care to a patient with multiple sclerosis who is developing speech difficulties, the nurse correlates this new finding to which factor?

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