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?

TIA

CVA

TPN

Answer and Explanation

The Correct Answer is A

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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Correct Answer is ["A","B","D","E"]

Explanation

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.

A. Assist the client to sit upright in a chair for 4 hr at a time. B. Expect clear drainage on the spinal dressing. C. Elevate the client's legs when he is lying on his side. D. Log roll the client every 2 hr.

Correct Answer is D

Explanation

A. The client should not sit upright in a chair for prolonged periods (such as 4 hours at a time) immediately following spinal fusion, as this could place excessive strain on the surgical site. The client should be assisted to sit upright for short periods and be repositioned regularly.

B. Clear drainage on the spinal dressing could indicate cerebrospinal fluid leakage, which is a concern following spinal surgery. The nurse should expect minimal to no drainage, and if clear fluid is observed, it should be reported immediately.

C. Elevating the client's legs when lying on his side may not be necessary unless specifically ordered by the healthcare provider. In general, the client should maintain proper body alignment and avoid any positions that strain the surgical site.

D. Log rolling is a critical intervention for spinal fusion patients to prevent twisting of the spine. The nurse should assist the client in log rolling every 2 hours to maintain spinal alignment and prevent injury to the surgical site.

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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?

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Naxlex Comprehensive Predictor Exams

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.)

Correct Answer is ["A","B","D","E"]

Explanation

A nurse is assisting with the plan of care for a client who is 1 day postoperative following spinal fusion. Which of the following interventions should the nurse include in the plan?

Correct Answer is D

Explanation

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