A nurse is caring for a client who has cervical radiculopathy due to a herniated disc at C6-C7 level. Which of the following muscles should the nurse assess for weakness?
Biceps brachii.
Triceps brachii.
Deltoid.
Trapezius.
The Correct Answer is B
Choice A reason:
This is incorrect because biceps brachii is innervated by C5-C6 nerve roots, which are not affected by a herniated disc at C6-C7 level.
Choice B reason:
This is the correct answer because triceps brachii is innervated by C6-C8 nerve roots, which are affected by a herniated disc at C6-C7 level.
Choice C reason:
This is incorrect because deltoid is innervated by C5-C6 nerve roots, which are not affected by a herniated disc at C6-C7 level.
Choice D reason:
This is incorrect because trapezius is innervated by cranial nerve XI (spinal accessory nerve), which is not affected by a herniated disc at C6-C7 level.
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Related Questions
Correct Answer is ["A","B","C"]
Explanation
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.
Correct Answer is D
Explanation
Choice A reason:
This is correct because elevating the head of the bed to 30 degrees can help reduce intracranial pressure by facilitating venous drainage and decreasing cerebral blood volume.
Choice B reason:
This is correct because administering mannitol as prescribed can help reduce intracranial pressure by creating an osmotic gradient that draws fluid out of the brain tissue and into the bloodstream.
Choice C reason:
This is correct because monitoring the client's intracranial pressure can help detect any signs of increased intracranial pressure or cerebral herniation, which can be life-threatening complications of cerebral edema.
Choice D reason:
This is correct because all of the above interventions are appropriate for a client who has ischemic stroke and is at risk for cerebral edema.
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