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A client who has lumbar radiculopathy due to spinal stenosis is scheduled for an interventional procedure to relieve their symptoms. The nurse explains to the client that they will receive an injection of a steroid and a local anesthetic into the epidural space of their spine. The client asks the nurse, "How will this help me?" Which of the following responses should the nurse give?

"The steroid will reduce the inflammation and swelling of the nerve root, which will decrease your pain and improve your function."

"The local anesthetic will block the transmission of pain signals from the nerve root to your brain, which will provide you with temporary relief."

"The combination of steroid and local anesthetic will shrink the size of the disc or bone spur that is compressing the nerve root, which will restore your mobility and sensation."

"The injection will deliver medication directly to the affected area of your spine, which will have fewer side effects than oral or intravenous medications."

Answer and Explanation

The Correct Answer is A

Choice A reason:

This is the correct answer because epidural steroid injections are used to treat radiculopathy by reducing inflammation and edema of the nerve root, which can relieve radicular pain and improve neurological function.

Choice B reason:

This is incorrect because local anesthetic alone can provide temporary pain relief by blocking nerve conduction, but it does not address the underlying cause of radiculopathy, which is nerve root compression.

Choice C reason:

This is incorrect because steroid and local anesthetic do not have any effect on the size or shape of the disc or bone spur that is compressing the nerve root. They only reduce inflammation and pain.

Choice D reason:

This is incorrect because although epidural injections may have fewer systemic side effects than oral or intravenous medications, they still have some risks and complications, such as infection, bleeding, nerve damage, or spinal headache.

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Correct Answer is B

Explanation

Choice A reason:

This is incorrect because expressive aphasia is a type of aphasia that affects the ability to produce speech, but not to comprehend it. A client with expressive aphasia would be able to respond verbally, but with difficulty or errors.

Choice B reason:

This is the correct answer because receptive aphasia is a type of aphasia that affects the ability to comprehend speech, but not to produce it. A client with receptive aphasia would not be able to respond verbally, as they do not understand what is being asked.

Choice C reason:

This is incorrect because global aphasia is a type of aphasia that affects both the ability to produce and comprehend speech. A client with global aphasia would not be able to respond verbally or nonverbally, as they have no language function.

Choice D reason:

This is incorrect because anomic aphasia is a type of aphasia that affects the ability to recall specific words or names, but not the general ability to produce or comprehend speech. A client with anomic aphasia would be able to respond verbally, but with pauses or substitutions.

A. Bladder control B. Respiratory rate C. Heart rate D. Arm movement E. Leg movement

Correct Answer is ["A","C","E"]

Explanation

Choice A reason:

This is a correct answer, as bladder control is regulated by nerves that originate from the sacral region of the spinal cord, which is below T6.

Choice B reason:

This is an incorrect answer, as respiratory rate is regulated by nerves that originate from the cervical and thoracic regions of the spinal cord, which are above T6.

Choice C reason:

This is a correct answer, as heart rate is regulated by nerves that originate from the thoracic and lumbar regions of the spinal cord, which are below T6.

Choice D reason:

This is an incorrect answer, as arm movement is regulated by nerves that originate from the cervical region of the spinal cord, which is above T6.

Choice E reason:

This is a correct answer, as leg movement is regulated by nerves that originate from the lumbar and sacral regions of the spinal cord, which are below T6.

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Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Correct Answer is B

Explanation

A nurse is assessing a client who has a spinal cord injury at the level of T6. Which of the following functions are likely to be affected by this injury? (Select all that apply.)

Correct Answer is ["A","C","E"]

Explanation

A nurse is educating a client who has a history of ischemic stroke about modifiable risk factors. Which of the following risk factors should the nurse include in the teaching? (Select all that apply.)

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.)

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