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MARYVILLE NURS 623 EXAM 4 AND STUDY GUIDE 2024 ACTUAL EXAM COMPLETE 160 QUESTIONS AND CORRECT DETAILED ANSWERS (VERIFIED ANSWERS) |ALREADY GRADED A+||BRAND NEW VERSION!! $28.49
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MARYVILLE NURS 623 EXAM 4 AND STUDY GUIDE 2024 ACTUAL EXAM COMPLETE 160 QUESTIONS AND CORRECT DETAILED ANSWERS (VERIFIED ANSWERS) |ALREADY GRADED A+||BRAND NEW VERSION!!
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Course
MARYVILLE NURS 623
Institution
MARYVILLE NURS 623
MARYVILLE NURS 623 EXAM 4 AND STUDY
GUIDE 2024 ACTUAL EXAM COMPLETE 160
QUESTIONS AND CORRECT DETAILED
ANSWERS (VERIFIED ANSWERS)
|ALREADY GRADED A+||BRAND NEW
VERSION!!
MARYVILLE NURS 623 EXAM 4 AND STUDY
GUIDE 2024 ACTUAL EXAM COMPLETE 160
QUESTIONS AND CORRECT DETAILED
ANSWERS (VERIFIED ANSWERS)
|ALREADY GRADED A+||BRAND NEW
VERSION!!
NURS 623 EXAM 4 MARYVILLE UNIVERSITY
Sam is a 25-year-old who has been diagnosed with low back
strain based on his history of localized low back pain and
muscle spasm along with a normal neurological examination. As
the clinician, you explain to Sam that low back pain is a
diagnosis of exclusion. Which of the following symptoms would
alert the clinician to the more serious finding of a herniated
nucleus pulposus or ruptured disc?
a. Morning stiffness and limited mobility of the lumbar spine
b. Unilateral radicular pain symptoms that extend below the
knee and are equal to or greater than the back pain
c. Fever, chills, and elevated erythrocyte sedimentation rate
d. Pathologic fractures, severe night pain, weight loss, and
fatigue - ANSWER- b. Unilateral radicular pain symptoms that
extend below the knee and are equal to or greater than the back
pain
,2|Page
11. The clinician has instructed Sam, a 25-year-old patient with
low back strain, to use NSAIDs to manage his symptoms of pain
and discomfort. Which of the following statements would be
most appropriate when teaching Sam about the use of NSAIDs?
a. "You should start with the lowest dose that is effective in
managing your pain, because long-term use of NSAIDs can
result in gastrointestinal (GI) disorders such as ulcers and
hemorrhage."
b. "You should start with the lowest dose that is effective in
managing your pain to avoid developing tolerance to the
medication."
c. "You should take the maximum recommended dose of
NSAIDs so that you will not need to take narcotics to control
your pain."
d. "It is important to take NSAIDs on an empty stomach in order
to increase absorption." - ANSWER- a. "You should start with
the lowest dose that is effective in managing your pain, because
long-term use of NSAIDs can result in gastrointestinal (GI)
disorders such as ulcers and hemorrhage."
Janet is a 30-year-old who has recently been diagnosed with a
herniated disc at the level of L5-S1. She is currently in the
emergency room with suspicion of cauda equina compression.
,3|Page
Which of the following is a sign or symptom of cauda equina
compression?
a. Gastrocnemius weakness
b. A reduced or absent ankle reflex
c. Numbness in the lateral foot
d. Paresthesia of the perineum and buttocks - ANSWER- d.
Paresthesia of the perineum and buttocks
Which of the following statements is true concerning the
management of the client with a herniated disc?
a. Muscle relaxants and narcotics can be used to control
moderate pain but should be discontinued after 3 weeks of use.
b. An epidural injection is helpful in reducing leg pain that has
persisted for at least 3 weeks after the herniation occurred.
c. Intolerable pain for more than a 3-month period is an
indication for surgical intervention.
d. All of the above - ANSWER- c. Intolerable pain for more
than a 3-month period is an indication for surgical intervention.
John is a 16-year-old boy who presents to the emergency room
after hurting his knee in a football game. He described twisting
his knee and then being unable to extend it completely. John
tells the clinician that he heard a pop when the injury occurred
and has been experiencing localized pain. The clinician suspects
, 4|Page
a meniscal tear. Which test would be most appropriate to assess
for the presence of a meniscal tear?
a. Valgus stress test
b. McMurray circumduction test
c. Lachman test
d. Varus stress test - ANSWER- b. McMurray circumduction
test
Normal estrogen function is important for preventing
osteoporosis in both men and women. Estrogen works to prevent
osteoporosis in which of the following ways?
a. By decreasing the erosive activity of osteoclasts
b. By promoting osteoclastogenesis
c. By inhibiting osteoclast apoptosis
d. All of the above - ANSWER- a. By decreasing the erosive
activity of osteoclasts
Which of the following tests is considered the gold standard for
definitively diagnosing osteoporosis?
a. Bone alkaline phosphatase levels
b. Urinary N-telopeptide assay
c. Bone mass density measurement by densitometry
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