Spinal Cord Disorders(Med Surg Ch 37) Study Guide Exam Questions And Actual Answers.
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Course
Spinal disorders
Institution
Spinal Disorders
A patient asks what smoking cigarettes has to do with low back pain. How should the nurse respond to this patient?
1) "Smoking is a sedentary activity."
2) "Smoking is linked to nutritional disorders."
3) "Nicotine in cigarettes interferes with nutrients that supply the disk spaces."
4) "Nicoti...
Spinal Cord Disorders(Med Surg Ch 37)
Study Guide Exam Questions And Actual
Answers.
A patient asks what smoking cigarettes has to do with low back pain. How should the nurse respond to
this patient?
1) "Smoking is a sedentary activity."
2) "Smoking is linked to nutritional disorders."
3) "Nicotine in cigarettes interferes with nutrients that supply the disk spaces."
4) "Nicotine hinders the mobility of the vertebral spaces and interferes with nerve function." - Answer
ANS: 3
Nicotine in cigarettes is thought to interfere with vital nutrients being absorbed by the intervertebral
disks.
A patient with multiple sclerosis experiences exacerbations of new symptoms that last a few days and
then disappear. Which type of multiple sclerosis is this patient most likely experiencing?
1) Relapsing-remitting
2) Primary progressive
3) Progressive relapsing
4) Secondary progressive - Answer ANS: 1
In relapsing-remitting multiple sclerosis, relapses or exacerbations occur during which new symptoms
appear and old ones worsen or reappear; these relapses can last days or months.
A patient is diagnosed with spinal stenosis. Which manifestation is caused by age-related loss of spinal
muscle strength?
1) Fatigue
2) Constipation
3) Muscle spasm
4) Decreased stamina - Answer ANS: 3
, Muscle spasm is the sudden, involuntary contraction of a single muscle or muscle group. Most back
muscle spasms are due to inflammation and soreness because of sudden movement or bending, but
they can also result from age-related loss of spinal muscle strength as muscles spasm to protect the
worn areas of the spine.
A patient with low back pain asks why nerve conduction studies are prescribed. What explanation should
the nurse provide to the patient relative to this diagnostic test?
1) "It measures damage to nerves."
2) "It shows pressure on nerves from herniated disks."
3) "It measures electrical impulses within muscle tissue."
4) "It shows the structure of the vertebrae and joint outlines." - Answer ANS: 1
Nerve conduction studies (NCS) measure the electrical nerve impulse that indicates damage to the
nerve.
A patient with low back pain asks what aspirin is supposed to do help with the pain. How should the
nurse respond to this patient?
1) "It depresses the central nervous system."
2) "It blocks sodium channels and stops the formation of nerve impulses."
3) "It blocks enzymes and chemicals in the body to decrease pain and inflammation."
4) "It blocks the production of substances that trigger allergic and inflammatory reactions." - Answer
ANS: 3
NSAIDs block enzymes and prostaglandins throughout the body, thereby decreasing pain and
inflammation.
The nurse is caring for a patient with unrelenting low back pain caused by a herniated disk. What
instruction should the nurse provide to this patient to help with the pain?
1) Sit with the legs elevated
2) Reduce the intake of fluids
3) Limit activity until the pain subsides
4) Bend at the knees with a straight back - Answer ANS: 4
Bending at the knees with the back straight uses the leg muscles to lift and decreases strain on the back
muscles.
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