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1. Question
A client is complaining of low back pain that radiates down the left posterior thigh. The nurse further assesses the client to see if the pain is worsened or aggravated by:
Correct
Answer & Rationale:
Option 2 is Correct
Rationale: Low back pain that radiates into one leg (sciatica) is consistent with herniated lumbar disk. The nurse assesses the client to see whether the pain is aggravated by events that increase intraspinal pressure, such as bending, lifting, sneezing, and coughing, or by lifting the leg straight up while supine (straight leg-raising test).
Incorrect
Answer & Rationale:
Option 2 is Correct
Rationale: Low back pain that radiates into one leg (sciatica) is consistent with herniated lumbar disk. The nurse assesses the client to see whether the pain is aggravated by events that increase intraspinal pressure, such as bending, lifting, sneezing, and coughing, or by lifting the leg straight up while supine (straight leg-raising test).
Total Knee Replacement ( NCLEX Review)
Description:
Total knee replacement is the implantation of a device to substitute for the femoral condyles and tibial joint surfaces.
Postoperative interventions
Monitor surgical incision for drainage and infection.
Begin continuous passive motion 24 to 48 hours postoperatively as prescribed to exercise the knee and provide moderate flexion and extension.
Administer analgesics before continuous passive motion to decrease pain.
Prepare the client for out of bed activities as prescribed; have the client avoid leg dangling.
Avoid weight bearing and instruct the client in the use of the prescribed assistive device, such as a walker.
Postoperative blood salvage may be prescribed to collect, filter, and reinfuse salvaged blood into client.