The nurse is employed in the neurosurgeon's office assisting the physician in teaching

The nurse is instructing a client who is very anxious stating, "What will happen if the conservative treatment for the degenerative changes in my spine does not help my lumbar pain." The nurse is most correct to turn the teaching to which surgical procedure? A) A diskectomy
B) A laminectomy
C) A spinal fusion
D) Aggressive traction


C
Feedback:
The nurse is most correct to provide teaching on a spinal fusion aimed to stabilize the vertebrae weakened by degenerative joint changes such as osteoarthritis and by a laminectomy. A diskectomy provides pain relief by the removal of a ruptured disk. A laminectomy is the removal of the posterior arch of a vertebra to expose the spinal cord. From this point, the surgeon can remove a herniated disk, tumor, bone fragments, etc. Aggressive traction is not a surgical option.

Nursing

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The nurse prioritizes completion of home visits during an outbreak of the flu. Which of the following persons is at greatest risk for contracting influenza?

A) A 67-year-old recovering from a knee replacement received 3 weeks ago. B) An 89-year-old with asthma living in a public housing facility. C) An obese 82-year-old living with family. D) A 74-year-old who fell at yoga class 10 days ago and has an open wound.

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The group that the nurse would advise to have a vaccination with conjugated pneumococcal vaccine is:

1. adult diabetics. 2. persons 65 years or older. 3. children younger than 24 months. 4. persons with cardiovascular disorders.

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An outpatient has been self-monitoring blood pressure readings since beginning reserpine for hypertension 3 days ago. The patient reports, "My blood pressure has not changed since I started taking the medication"

The nurse should advise the patient: a. "Take an extra dose now and recheck the blood pressure tomorrow." b. "Discontinue the medication and come to the office immediately." c. "This is normal. The effects may not be evident for a full week." d. "Another medication is needed with the treatment regimen."

Nursing

Which of the following is not one of the four ethical principles/values?

a. autonomy b. non-maleficence c. beneficence d. informed consent

Nursing