A nurse is reviewing principles of body mechanics with a client following a lumbar laminectomy

B

1. A nurse is providing teaching about sumatriptan to a client. Which of the following

statements by the client indicates an understanding of the teaching?

b. "I will take this medication at the onset of a migraine."

2. A nurse is caring for a client who has a new diagnosis of Chlamydia trachomatis.

Which of the following actions should the nurse take?

a. Report the infection to the state department of health.

3. A nurse on a medical-surgical unit is delegating tasks to an assistive personnel (AP).

Which of the following client care tasks is within the scope of practice for the AP?

b. Performing postmortem care

4. A nurse is receiving change-of-shift report for a group of clients. Which of the following

clients should the nurse plan to assess first?

b. A client who has a hip fracture and a new onset of tachypnea

5. A nurse is teaching a client who has a new diagnosis of diabetes mellitus about foot

care. Which of the following instructions should the nurse include in the teaching?

c. Wear clean cotton socks every day.

6. A nurse is planning to delegate tasks to an assistive personnel (AP). Which of the

following tasks should the nurse assign to the AP?

b. Reposition a client.

7. A nurse is caring for a client who is at 20 weeks of gestation and reports urinary

frequency. Which of the following actions is appropriate?

b. Assure the client that this is an expected finding during this trimester.

8. A nurse is preparing to administer several medications through a client's

nasointestinal tube. The nurse should ask the pharmacist about the availability of a

different form for which of the following medications?

c. Enteric-coated aspirin

9. A school nurse is teaching a parent about absence seizures. Which of the following

information should the nurse include?

b. "This type of seizure can be mistaken for daydreaming."

10. A nurse is caring for a client who has prescriptions for furosemide and gentamicin.

For which of the following complications should the nurse monitor the client?

b. Ototoxicity

11. A nurse is teaching a parent of a school-age child who is to begin a daily dose of

methylphenidate. Which of the following should the nurse include in the teaching?

d. "You should administer the medication after breakfast."

12. A nurse is providing dietary teaching to a client who has heart failure. Which of the

following recommendations is appropriate for this client?

c. Encourage seasoning with dry herbs.

1

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What to expect after lumbar laminectomy?

You can expect your back to feel stiff or sore after surgery. This should improve in the weeks after surgery. You may have trouble sitting or standing in one position for very long and may need pain medicine in the weeks after your surgery.

What is lumbar laminectomy?

A lumbar laminectomy involves the removal of the lamina, the back portion of a spinal bone in the lower back. This creates more room within the spinal canal.

What happens during a laminectomy?

The surgeon removes the bony arch of the posterior part of the vertebra (lamina) to ease the pressure on the nerves in the area. This may involve removing bone spurs or growths, or removing all or part of a disk. In some cases, spinal fusion may be done at the same time.

How soon can you walk after a laminectomy?

This is usually 2 to 3 weeks after a laminectomy and discectomy and 4 to 6 weeks after a lumbar fusion. Narcotic pain medications will delay your reflex time. Begin with short trips first and get out of the car every 30 to 45 minutes to walk around and reposition.

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