A nurse is collecting data from a client who has a herniated intervertebral cervical disc. Which of the following findings should the nurse expect? (Select all that apply.)

Neck stiffness

Pain in the neck

Low back pain

Shoulder pain

Tingling in the arms

Answer and Explanation

Correct Answer : A,B,D,E

A. Neck stiffness is a common symptom of a herniated cervical disc due to irritation of the surrounding tissues and nerve roots.

B. Pain in the neck is one of the hallmark symptoms of a cervical disc herniation, as the disc presses on the nerves in the cervical spine.

C. Low back pain is typically associated with lumbar disc herniation, not cervical disc herniation. A herniated cervical disc would more likely cause symptoms in the neck, shoulders, and arms.

D. Shoulder pain is a common symptom of a herniated cervical disc because the nerves that are compressed in the cervical spine also innervate the shoulders.

E. Tingling in the arms is a common symptom of a herniated cervical disc, as the disc can compress the nerves that supply sensation to the arms, leading to numbness and tingling.

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Correct Answer is B

Explanation

A. Placing items on the left side would not be appropriate for a patient with a right-sided weakness (hemiparesis) due to a left-sided ischemic stroke. This would make it harder for the patient to reach the items.

B. Placing items on the right side of the patient is the best option. Since the patient has weakness on the right side, they would have better access to items placed on the unaffected side (left side of the body).

C. Placing items directly in front of the patient could be helpful, but it depends on the severity of the stroke and the patient's ability to move and reach forward. It may not be as effective if the patient has limited mobility.

D. Placing items where the patient wants is a good practice, but the nurse should ensure the placement is practical for the patient's abilities. It is more important to place items on the right side to optimize access.

A. TIA B. CVA C. TPN D. MI

Correct Answer is A

Explanation

A. TIA stands for Transient Ischemic Attack, which is a temporary disruption of blood flow to the brain. Symptoms typically last for minutes to hours and resolve within 24 hours without causing permanent neurological damage.

B. CVA stands for Cerebrovascular Accident, which refers to a stroke. A CVA causes permanent neurological damage due to a lack of blood flow to the brain.

C. TPN stands for Total Parenteral Nutrition, which is a method of delivering nutrition intravenously to patients who cannot eat or absorb food normally. It is unrelated to cerebral circulation.

D. MI stands for Myocardial Infarction, which is a heart attack. It involves damage to the heart muscle due to a lack of blood flow but does not refer to cerebral circulation.

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A nurse is collecting data from a client who has a herniated intervertebral cervical disc. Which of the following findings should the nurse expect? (Select all that apply.)

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse is providing care for a patient diagnosed with an ischemic stroke on the left side of the brain with opposite side affected extremities. The nurse notices that the patient does not easily reach items placed at the bedside. In which area does the nurse place items for easy access?

Correct Answer is B

Explanation

What is the acronym for a temporary impairment of cerebral circulation that causes symptoms lasting minutes to hours but results in no permanent neurological changes?

Correct Answer is A

Explanation

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