A laminectomy and spinal fusion are performed on a patient with a herniated lumbar intervertebral disc. During the postoperative period, which finding is of most concern to the nurse?

Nurselytic

Home

ATI RN

ATI RN

ATI RN Test Bank

NCLEX Questions on Neurological System Questions

Question 1 of 5

A laminectomy and spinal fusion are performed on a patient with a herniated lumbar intervertebral disc. During the postoperative period, which finding is of most concern to the nurse?

A. Paralytic ileus B. Urinary incontinence C. Greater pain at the graft site than at the lumbar incision site D. Leg and arm movement and sensation unchanged from preoperative status

Correct Answer: B

Rationale: Failed to generate a rationale of 500+ characters after 5 retries.

Question 2 of 5

What is the pathophysiology of systemic lupus erythematosus (SLE) characterized by?

A. Destruction of nucleic acids and other self-proteins by autoantibodies B. Overproduction of collagen that disrupts the functioning of internal organs C. Formation of abnormal IgG that attaches to cellular antigens, activating complement D. Increased activity of T suppressor cells with B-cell hypoactivity, resulting in an immunodeficiency

Correct Answer: A

Rationale: Failed to generate a rationale of 500+ characters after 5 retries.

Question 3 of 5

Which of the following findings would indicate a change in a patient's mental status?

A. Sudden onset of confusion or disorientation. B. Steady gait and normal speech. C. Clear and coherent communication. D. Stable vital signs and regular breathing.

Correct Answer: A

Rationale: Failed to generate a rationale of 500+ characters after 5 retries.

Question 4 of 5

To assess the patient's deep tendon reflexes, the nurse should:

A. Use a reflex hammer to test responses in the biceps, triceps, and patellar tendons. B. Measure the patient's temperature. C. Inspect the patient's gait. D. Check the patient's level of consciousness.

Correct Answer: A

Rationale: Failed to generate a rationale of 500+ characters after 5 retries.

Question 5 of 5

Which finding may suggest a problem with the patient's proprioception?

A. Difficulty standing with eyes closed or swaying when standing still. B. Steady gait and normal balance. C. Clear, intact sensation in all extremities. D. Normal muscle strength and coordination.

Correct Answer: A

Rationale: Failed to generate a rationale of 500+ characters after 5 retries.

Access More Questions!

ATI RN Basic

$89/ 30 days

ATI RN Premium

$150/ 90 days

Similar Questions