The nurse caring for a client admitted to the hospital with acute back pain understands that this problem can be most likely caused by which of the following? Select all that apply
1. Scoliosis
2. Twisting of the spine
3. Hyperflexion of the spine
4. Sciatic nerve inflammation
5. Herniation of an intervertebral disk
6. Degeneration of the vertebral posterior facet joints
2, 3, 5
Rationale: Acute back pain is sudden in onset and is usually precipitated by injury to the lower back, such as with hyperflexion, twisting, or disk herniation. Degenerative vertebral changes, sciatica, and scoliosis are more likely to cause chronic back pain, which can be more insidious in onset and may also be accompanied by degeneration of the intervertebral disk.
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If a child is struck by a car, the nurse should assess for:
1. Chest or femur injuries where the bumper may have impacted the child. 2. Liver injuries on the right side due to impact by the vehicle. 3. Lower extremity fracture caused by the wheels running over the child. 4. Kidney injury due to the impact of the vehicle on the lower back.
A client suffering from infectious diarrhea, dehydration, and right sided paralysis is confined to bed. What is the client most prone to?
A) Bowel obstruction B) Decubitus ulcer C) Depression D) Urinary incontinence
An emergency department nurse assesses a client with kidney trauma and notes that the client's abdomen is tender and distended and blood is visible at the urinary meatus
Which prescription should the nurse consult the provider about before implementation? a. Assessing vital signs every 15 minutes b. Inserting an indwelling urinary catheter c. Administering intravenous fluids at 125 mL/hr d. Typing and crossmatching for blood products
When providing safety education for parents of school-age children, the community health nurse would focus interventions on which of the following as the priority?
A) Motor vehicle safety B) Water safety C) Fire safety D) Poisoning prevention