When assessing a patient with a herniated disc in the lumbar region, the nurse would expect to find:
A) lower extremity paralysis.
B) urinary incontinence.
C) neck and shoulder pain radiating to hands.
D) burning pain that radiates from the buttocks to the leg.
D) burning pain that radiates from the buttocks to the leg.
Explanation: A) Herniation of a thoracic disc is a medical emergency that can result in paralysis.
B) Compression of the nerve roots of the cauda equina can lead to cauda equina syndrome (CES), which may result in permanent neurologic impairment, including urinary incontinence and paralysis.
C) Pressure on one or more of the lumbar roots can affect the sciatic nerve, leading to pain, burning, tingling, and numbness that radiates from the buttock into the leg and foot. The neck, shoulders, and hands are not affected.
D) A herniated disc in the lumbar region may cause a condition called sciatica. Pressure on one or more of the lumbar roots can affect the sciatic nerve, leading to pain, burning, tingling, and numbness that radiates from the buttock into the leg and foot.
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