A nurse is caring for a client who has degenerative disc disease.
Which of the following assessment findings should the nurse understand might develop with this condition? (Select All that Apply)

Hyponatremia

Paresthesia

Foot drop

Intermittent pain

Hyperreflexia

Answer and Explanation

Correct Answer : B,C,D

Choice A rationale
Hyponatremia, or low sodium levels, is not typically a symptom of degenerative disc disease. It can be caused by a variety of conditions, but it is not directly linked to degenerative disc disease.
Choice B rationale
Paresthesia, or abnormal sensations such as tingling or prickling, can develop with degenerative disc disease. This is due to the fact that degenerative changes can lead to nerve compression, which can cause these sensations.
Choice C rationale
Foot drop, a gait abnormality, can be a symptom of degenerative disc disease. It can occur if the disease process affects the nerves that control the muscles involved in lifting the foot.
Choice D rationale
Intermittent pain is a common symptom of degenerative disc disease. The pain can vary in intensity and may be worse with certain activities or positions.
Choice E rationale
Hyperreflexia, or overactive reflexes, is not typically a symptom of degenerative disc disease. It is more commonly associated with conditions that affect the upper motor neurons.

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Correct Answer is A

Explanation

Choice A rationale
Maintaining the head of the bed between 30 and 45 degrees is a common intervention for a patient at risk of cerebral aneurysm rupture. This position can help reduce intracranial pressure and promote venous drainage from the brain.
Choice B rationale
Administering hypotonic intravenous solutions is not typically recommended for patients at risk of cerebral aneurysm rupture. Hypotonic solutions can lead to cerebral edema, which can increase intracranial pressure and potentially contribute to aneurysm rupture.
Choice C rationale
Keeping lights at a medium level in the evening is not a specific intervention for patients at risk of cerebral aneurysm rupture. While maintaining a comfortable and restful environment is important, there’s no evidence to suggest that the level of lighting has a direct impact on the risk of aneurysm rupture.
Choice D rationale
Repositioning the patient every shift is a standard nursing intervention to prevent pressure ulcers and promote comfort. However, it is not a specific intervention for patients at risk of cerebral aneurysm rupture.

A. Bruising over the mastoid process B. Pooling of blood and edema around the eyes C. Ability to recall how the injury occurred D. Chvostek’s sign

Correct Answer is A

Explanation

Choice A rationale
Bruising over the mastoid process, also known as Battle’s sign, is a classic clinical sign of a basilar skull fracture.
Choice B rationale
Pooling of blood and edema around the eyes, or ‘raccoon eyes’, is another sign of a basilar skull fracture.
Choice C rationale
The ability to recall how the injury occurred is not directly related to the presence of a basilar skull fracture. Memory loss or confusion could be symptoms of a traumatic brain injury, but they are not specific to a basilar skull fracture.
Choice D rationale
Chvostek’s sign is a clinical sign of hypocalcemia, not a basilar skull fracture

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A nurse is caring for a client who has degenerative disc disease. Which of the following assessment findings should the nurse understand might develop with this condition? (Select All that Apply)

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is providing care for a patient who is at risk of cerebral aneurysm rupture. Which of the following interventions should the nurse include in the care plan?

Correct Answer is A

Explanation

A nurse receives a report on a client with a basilar skull fracture. What findings should the nurse expect with this client?

Correct Answer is A

Explanation

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A nurse is providing care for a patient in the emergency department who has been preliminarily diagnosed with a transient ischemic attack (TIA). Which diagnostic test should the nurse expect the healthcare provider to order?

A nurse is caring for a client who has degenerative disc disease. Which of the following assessment findings should the nurse understand might develop with this condition? (Select All that Apply)

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A nurse is caring for a client who has degenerative disc disease.
Which of the following assessment findings should the nurse understand might develop with this condition? (Select All that Apply)