davis combined exam Coordinating
Care for Patients With Spinal Cord
Disorders .|all answered
Chapter 37: Coordinating Care for Patients With Spinal Cord Disorders
Multiple Choice
Identify the choice that best completes the statement or answers the question.
1. 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
activ- ity.”
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
inter-
feres with nerve function.”
```
2. 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
3. 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
,4. 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.”
5. 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 im-
pulses.”
3) “It blocks enzymes and chemi-
cals in the body to decrease pain
and inflammation.”
4) “It blocks the production of sub-
stances that trigger allergic and
inflammatory reactions.”
6. The nurse is caring for a patient with unrelenting low back pain caused by a herni-
ated 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 sub-
sides
4) Bend at the knees with a straight
back
7. The nurse directs a patient with a herniated disk to notify the health-care provider
immediately if the patient experiences which presentation?
1) New onset urinary incontinence
2) Sleepiness after taking pain med-
ication
3) Difficulty with having a bowel
, movement
4) Transient pain with walking and
changing position
8. A patient receives a definitive diagnosis of multiple sclerosis. What finding oc-
curred to validate this diagnosis?
1) Onset of double vision
2) Loss of bowel and bladder control
3) Numbness and tingling of one
limb
4) MRI changes in two separate
lo- cations
9. A patient with multiple sclerosis is admitted for treatment of clinical manifesta-
tions. What should the nurse expect to be prescribed for this patient?
1) Corticosteroids
2) Beta interferons
3) Muscle relaxants
4) Immunosuppressive agents
10. A patient with multiple sclerosis is developing speech difficulties. What should the
nurse realize as being the reason for this new manifestation?
1) Depression
2) Medications
3) Nerve regeneration
4) Mental status changes
11. The nurse is caring for a patient with multiple sclerosis. What should the nurse do
to increase venous return, prevent stiffness, and maintain muscle strength and en-
durance?
1) Administer interferon
2) Administer corticosteroids
3) Turn and reposition every two
hours
Care for Patients With Spinal Cord
Disorders .|all answered
Chapter 37: Coordinating Care for Patients With Spinal Cord Disorders
Multiple Choice
Identify the choice that best completes the statement or answers the question.
1. 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
activ- ity.”
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
inter-
feres with nerve function.”
```
2. 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
3. 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
,4. 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.”
5. 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 im-
pulses.”
3) “It blocks enzymes and chemi-
cals in the body to decrease pain
and inflammation.”
4) “It blocks the production of sub-
stances that trigger allergic and
inflammatory reactions.”
6. The nurse is caring for a patient with unrelenting low back pain caused by a herni-
ated 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 sub-
sides
4) Bend at the knees with a straight
back
7. The nurse directs a patient with a herniated disk to notify the health-care provider
immediately if the patient experiences which presentation?
1) New onset urinary incontinence
2) Sleepiness after taking pain med-
ication
3) Difficulty with having a bowel
, movement
4) Transient pain with walking and
changing position
8. A patient receives a definitive diagnosis of multiple sclerosis. What finding oc-
curred to validate this diagnosis?
1) Onset of double vision
2) Loss of bowel and bladder control
3) Numbness and tingling of one
limb
4) MRI changes in two separate
lo- cations
9. A patient with multiple sclerosis is admitted for treatment of clinical manifesta-
tions. What should the nurse expect to be prescribed for this patient?
1) Corticosteroids
2) Beta interferons
3) Muscle relaxants
4) Immunosuppressive agents
10. A patient with multiple sclerosis is developing speech difficulties. What should the
nurse realize as being the reason for this new manifestation?
1) Depression
2) Medications
3) Nerve regeneration
4) Mental status changes
11. The nurse is caring for a patient with multiple sclerosis. What should the nurse do
to increase venous return, prevent stiffness, and maintain muscle strength and en-
durance?
1) Administer interferon
2) Administer corticosteroids
3) Turn and reposition every two
hours
