ATI LPN
Brunner & Suddarth's Textbook of Medical-Surgical Nursing 14e (Hinkle 2017)
Chapter 70 : Management of Patients With Oncologic or Degenerative Neurologic Disorders Questions
Question 1 of 5
A family member of a patient diagnosed with Huntington disease calls you at the clinic. She is requesting help from the Huntingtons Disease Society of America. What kind of help can this patient and family receive from this organization? Select all that apply.
Correct Answer: A,B,C
Rationale: The Huntington's Disease Society of America provides information, referrals, and public education. It does not offer individual assessments or research appraisals.
Question 2 of 5
A patient with a new diagnosis of amyotrophic lateral sclerosis (ALS) is overwhelmed by his diagnosis and the known complications of the disease. How can the patient best make known his wishes for care as his disease progresses?
Correct Answer: A
Rationale: An advance directive legally documents care wishes for ALS progression. Other options lack legal binding or specificity.
Question 3 of 5
The nurse is caring for a patient who is scheduled for a cervical discectomy the following day. During health education, the patient should be made aware of what potential complications?
Correct Answer: B
Rationale: Hematoma at the surgical site is a key complication of cervical diskectomy, risking cord compression. Fractures, scoliosis, or renal trauma are not typical risks.
Question 4 of 5
The nurse responds to the call light of a patient who has had a cervical diskectomy earlier in the day. The patient states that she is having severe pain that had a sudden onset. What is the nurses most appropriate action?
Correct Answer: C
Rationale: Sudden severe pain post-diskectomy may indicate graft extrusion, requiring immediate surgical notification. Palpation, dressing removal, or NSAIDs could delay critical intervention.
Question 5 of 5
A nurse is planning discharge education for a patient who underwent a cervical diskectomy. What strategies would the nurse assess that would aid in planning discharge teaching?
Correct Answer: A
Rationale: Cervical collar care is essential for post-diskectomy recovery to maintain alignment. ROM exercises, ABG assessment, and nerve restoration are not appropriate.