Question 1

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.

Accepted Answer

The answer of The nurse is concerned that a patient...

Question 2

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

Accepted Answer

Dizziness, double vision, and unsteady gait are all clinical manifestations of multiple sclerosis (MS).

Question 3

The nurse correlates the new onset of back pain radiating down the left leg to which neurological disorder?

Accepted Answer

Back pain radiating down the leg is commonly associated with nerve compression or damage, which can occur with a spinal cord tumor. This symptom is indicative of sciatica, often caused by pressure on the spinal nerves.

Question 4

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.

Accepted Answer

The answer of A patient with a herniated disk is...

Question 5

The nurse provides education to a patient who is newly diagnosed with multiple sclerosis (MS). Which patient statements indicate the need for additional teaching? Select all that apply.

Accepted Answer

Exercise is generally encouraged for MS patients as it can help with symptoms and overall health, not trigger exacerbations. Alternating an eye patch every other day is incorrect; it should be alternated every few hours to help with double vision.

Question 6

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.

Accepted Answer

The answer of A patient with low back pain asks...

Question 7

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

Accepted Answer

Radiculopathy is a condition caused by compression, inflammation, and/or injury to a spinal nerve root, leading to symptoms such as pain (A), weakness (C), and numbness (D) in the areas that the affected nerves supply.

Question 8

A patient has a 4 cm spinal cord tumor located at T10. Which statement by the patient indicates the patient understands the treatment options?

Accepted Answer

Surgery is often the primary treatment for spinal cord tumors, especially if they are causing symptoms or are accessible. Other treatments like radiation or chemotherapy may be considered based on the tumor type and location, but surgery is typically the first-line treatment.

Question 9

A patient with amyotrophic lateral sclerosis (ALS) is being prepared for discharge. What teaching would be essential for the family to receive before taking the patient home? Select all that apply.

Accepted Answer

The answer of A patient with amyotrophic lateral sclerosis (ALS)...

Question 10

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?

Accepted Answer

Administering dexamethasone (Decadron) is the priority in this scenario because it helps reduce inflammation and edema around the surgical site in the spinal cord, which can significantly impact recovery and prevent complications such as compression of the spinal cord or nerves.

Quiz 37: Coordinating Care for Patients With Spinal Cord Disorders