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1. Question
. A client is complaining of low back pain that radiates down the left posterior thigh. The nurse should ask the client if the pain is worsened or aggravated by which factor?
Correct
Answer: Option 3 is the correct answer.
Rationale: Low back pain that radiates into 1 leg (sciatica) is consistent with herniated lumbar disk. The nurse assesses the client to see whether the pain is aggravated by events that increase intraspinal pressure, such as bending, lifting, sneezing, and coughing, or by lifting the leg straight up while supine (straight leg-raising test).Bed rest, heat (or sometimes ice), and nonsteroidal antiinflammatory drugs (NSAIDs) usually relieve back pain. Test-Taking Strategy: Focus on the subject, factors that aggravate back pain. Think about how each item in the options would relieve or exacerbate back pain. Recall that bed rest, heat (or sometimes ice), and NSAIDs usually relieve back pain, whereas bending, lifting, and straining aggravate it.
Incorrect
Answer: Option 3 is the correct answer.
Rationale: Low back pain that radiates into 1 leg (sciatica) is consistent with herniated lumbar disk. The nurse assesses the client to see whether the pain is aggravated by events that increase intraspinal pressure, such as bending, lifting, sneezing, and coughing, or by lifting the leg straight up while supine (straight leg-raising test).Bed rest, heat (or sometimes ice), and nonsteroidal antiinflammatory drugs (NSAIDs) usually relieve back pain. Test-Taking Strategy: Focus on the subject, factors that aggravate back pain. Think about how each item in the options would relieve or exacerbate back pain. Recall that bed rest, heat (or sometimes ice), and NSAIDs usually relieve back pain, whereas bending, lifting, and straining aggravate it.
Low back pain is a common symptom. It is often traumatic and
work-related, although lifting apparatus and other mechanical devices and
improved office seating help to avoid it. Episodes are generally short-lived
and self-limiting, and patients attend a physiotherapist or osteopath more often
than a doctor. Chronic back pain is the cause of 14% of long-term disability in
uk.
