Which disorder is associated with the compression of the bilateral nerve roots of the lumbosacral region?

Anterior spinal artery syndrome

Cauda equina syndrome

Horner's syndrome

Brown-Séquard syndrome

Answer and Explanation

The Correct Answer is B

Choice A rationale: Anterior spinal artery syndrome is caused by ischemia of the anterior two-thirds of the spinal cord, resulting in loss of motor function and pain and temperature sensation below the level of the lesion.

Choice B rationale: This is a condition that occurs when the nerve roots in the lower end of the spinal cord are compressed, causing symptoms such as lower back pain, sciatica, saddle anesthesia, bladder and bowel dysfunction, and sexual dysfunction.

Choice C rationale: Horner's syndrome is caused by damage to the sympathetic nerve fibers in the neck or chest, resulting in drooping eyelid, constricted pupil, and lack of sweating on one side of the face.

Choice D rationale: Brown-Séquard syndrome is caused by hemisection of the spinal cord, resulting in ipsilateral loss of motor function and proprioception and contralateral loss of pain and temperature sensation below the level of the lesion.

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Correct Answer is ["A","C","E"]

Explanation

Choice A rationale: Correct. The statement is accurate because developing confusion could be a sign of a serious condition like severe electrolyte imbalance or dehydration, requiring immediate medical attention.

Choice B rationale: Incorrect. Fluid intake should not be arbitrarily limited without medical advice, especially for a client with diabetes insipidus. Maintaining a consistent fluid intake is crucial, and any changes should be guided by a healthcare provider.

Choice C rationale: Correct. Weighing oneself at the same time every day is a good practice for monitoring fluid balance and identifying sudden changes that may indicate a problem.

Choice D rationale: Incorrect. Desmopressin doses should be administered as prescribed. The medication's administration should be consistent with the healthcare provider's instructions or the medication guide, not arbitrarily altered.

Choice E rationale: Correct. Keeping a log of fluid intake and urine output is important for managing diabetes insipidus effectively and allows for informed adjustments in fluid intake or medication dosage.

Choice F rationale: Incorrect. Adjusting medication dosage without consulting a healthcare provider is not safe. While increased urination is a symptom of diabetes insipidus, the client should consult their healthcare provider if their symptoms persist or worsen, rather than self-adjusting the medication dose.

A. Colchicine B. Alendronate C. Prednisone D. Allopurinol

Correct Answer is B

Explanation

Choice A rationale: Used primarily for gout and familial Mediterranean fever, not for Paget's disease.

Choice B rationale: Alendronate is a bisphosphonate commonly used to manage Paget's disease by slowing down bone breakdown and reducing the risk of complications.

Choice C rationale: Prednisone is a corticosteroid used for various inflammatory conditions but not typically prescribed for Paget's disease.

Choice D rationale: Used to lower uric acid levels and prevent gout attacks, not a primary medication for Paget's disease.

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Which disorder is associated with the compression of the bilateral nerve roots of the lumbosacral region?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The home health nurse visits a client with chronic diabetes insipidus: Exhibits Which three (4) client statements would indicate a correct understanding of the teaching?

Correct Answer is ["A","C","E"]

Explanation

A nurse is caring for a client with a new diagnosis of Paget's disease. The nurse anticipates the provider will prescribe which of the following medications for this client?

Correct Answer is B

Explanation

The newly diagnosed patient with type 2 diabetes has been prescribed metformin (Glucophage). What should the nurse tell the patient to best explain how this medication works?

Which disorder is associated with the compression of the bilateral nerve roots of the lumbosacral region?

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