A client has been diagnosed with radiculopathy due to a herniated disc in the lumbar spine. The nurse should instruct the client to avoid which of the following activities? (Select all that apply.)
Bending forward at the waist.
Lifting heavy objects.
Sitting for prolonged periods.
Swimming or water aerobics.
Walking or jogging.
Correct Answer : A,B,C
Choice A reason:
This is correct because bending forward at the waist can increase the pressure on the spinal discs and nerve roots, which can worsen radiculopathy symptoms.
Choice B reason:
This is correct because lifting heavy objects can also increase the pressure on the spinal discs and nerve roots, as well as strain the back muscles and ligaments, which can worsen radiculopathy symptoms.
Choice C reason:
This is correct because sitting for prolonged periods can reduce blood flow to the spinal discs and nerve roots, which can impair healing and worsen radiculopathy symptoms.
Choice D reason:
This is incorrect because swimming or water aerobics can be beneficial for clients with radiculopathy, as they can reduce stress on the spine, improve flexibility and strength, and relieve pain.
Choice E reason:
This is incorrect because walking or jogging can also be beneficial for clients with radiculopathy, as they can improve blood flow to the spine, enhance mood and well-being, and prevent deconditioning.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
Choice A reason:
This is a correct statement, as the CNS receives sensory information from various receptors in the body and interprets it.
Choice B reason:
This is a correct statement, as the CNS initiates and coordinates motor commands to control voluntary and involuntary movements.
Choice C reason:
This is a correct statement, as the CNS is involved in higher cognitive functions such as memory, learning, reasoning, and emotions.
Choice D reason:
This is an incorrect statement, as this is the function of the PNS. The PNS consists of cranial and spinal nerves that connect the CNS to the rest of the body and transmit sensory and motor signals.
Correct Answer is C
Explanation
Choice A reason:
This is incorrect because wearing tight-fitting shoes can cause pressure ulcers, blisters, or infections in clients with peripheral neuropathy, who have reduced sensation and blood flow in their feet. The nurse should advise the client to wear well-fitting shoes with cushioned socks and avoid walking barefoot.
Choice B reason:
This is incorrect because using a heating pad can cause burns or skin damage in clients with peripheral neuropathy, who have impaired temperature perception and pain sensation in their affected areas. The nurse should advise the client to avoid exposure to extreme heat or cold and use other methods to relieve pain, such as medications, massage, or acupuncture.
Choice C reason:
This is the correct answer because inspecting the skin daily for cuts, blisters, or ulcers can help prevent infection and complications in clients with peripheral neuropathy, who have reduced sensation and healing ability in their affected areas. The nurse should advise the client to wash their skin with mild soap and water, apply moisturizer, and report any signs of infection to their provider.
Choice D reason:
This is incorrect because taking vitamin B supplements can help prevent or treat peripheral neuropathy caused by vitamin B deficiency, which can occur in clients who receive chemotherapy. The nurse should advise the client to consult with their provider before taking any supplements and follow a balanced diet that includes foods rich in vitamin B, such as meat, eggs, dairy products, and fortified cereals.
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