A nurse is caring for a client who has spinal stenosis. Which of the following conditions should the nurse recognize as a risk factor for spinal stenosis?

Chronic obstructive pulmonary disease

Laminectomy

Hysterectomy

Hyperthyroidism

Answer and Explanation

The Correct Answer is B

Choice A Reason:

Chronic obstructive pulmonary disease (COPD) is inappropriate.COPD is a chronic lung disease characterized by airflow limitation. While COPD does not directly cause spinal stenosis, some individuals with COPD may have comorbidities or risk factors, such as osteoporosis or degenerative changes in the spine, which can contribute to spinal stenosis.

Choice B Reason:

Laminectomy is appropriate. A laminectomy is a surgical procedure used to decompress the spinal cord or nerves by removing the lamina (back part of the vertebra). While a laminectomy can be a treatment option for spinal stenosis, it is not a risk factor for developing the condition.

Choice C Reason:

Hysterectomy is inappropriate. Hysterectomy, the surgical removal of the uterus, is not directly associated with spinal stenosis. However, certain conditions or factors leading to a hysterectomy, such as pelvic tumors or endometriosis, may indirectly contribute to spinal stenosis if they cause changes in the spine or affect posture.

Choice D Reason:

Hyperthyroidism is appropriate. Hyperthyroidism, a condition characterized by excessive production of thyroid hormones, is not a known risk factor for spinal stenosis.

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Correct Answer is C

No explanation

A. Keep lights turned to medium level in the evening. B. Maintain the head of the bed between 30 and 45°. C. Administer hypotonic intravenous solutions. D. Reposition the client every shift.

Correct Answer is B

Explanation

Choice A Reason:

Keeping lights turned to medium level in the evening is incorrect. This intervention is aimed at reducing environmental stimuli, which may be appropriate for some patients with neurological conditions to minimize sensory overload and promote rest. However, it is not a specific intervention for preventing cerebral aneurysm rupture.

Choice B Reason:

Maintaining the head of the bed between 30 and 45° is correct. Keeping the head of the bed elevated can help reduce intracranial pressure and decrease the risk of cerebral aneurysm rupture or rebleeding in patients with aneurysmal subarachnoid hemorrhage. This position promotes venous drainage from the brain and helps prevent increases in intracranial pressure.

Choice C Reason:

Administering hypotonic intravenous solutions is incorrect. Hypotonic intravenous solutions have a lower osmolarity than blood plasma and can lead to cerebral edema, which may exacerbate intracranial pressure and increase the risk of cerebral aneurysm rupture. Isotonic solutions, such as normal saline (0.9% NaCl) or lactated Ringer's solution, are typically preferred for fluid resuscitation and maintenance in patients at risk of cerebral aneurysm rupture.

Choice D Reason:

Reposition the client every shift is incorrect. Repositioning the client every shift helps prevent complications associated with immobility, such as pressure ulcers, pneumonia, and venous thromboembolism. While important for overall patient care, repositioning alone does not directly address the risk of cerebral aneurysm rupture.

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A nurse is caring for a client who has spinal stenosis. Which of the following conditions should the nurse recognize as a risk factor for spinal stenosis?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Which of the following is an example of a complication that causes noncardiogenic pulmonary edema?

Correct Answer is C

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

Correct Answer is B

Explanation

A nurse is caring for a client who has spinal stenosis. Which of the following conditions should the nurse recognize as a risk factor for spinal stenosis?

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