Author Question: A nurse working with postpoliomyelitis patients knows that most of the patients: 1. had the ... (Read 72 times)

kaid0807 · **on:** Jun 25, 2018

A nurse working with postpoliomyelitis patients knows that most of the patients:

1. had the initial infection in the 1940s and 1950s.
2. have muscle involvement only in muscle groups that were affected initially.
3. have few symptoms other than mild muscle and joint weakness and pain.
4. had a recurrence due to receiving an oral polio vaccine booster.

Question 2

A patient with protruding lumbar disks is scheduled for a laminectomy. What should the nurse instruct the patient about this surgery?

Select all that apply.

1. The surgery will relieve pressure on the nerves.
2. A hollow titanium cylinder will be placed over the spine.
3. The spaces where the spinal nerves exit the canal will be enlarged.
4. The bony arch on the surface of the vertebra will be removed.
5. Wedge-shaped pieces of bone will be inserted between the vertebrae.

hollysheppard095 · **Reply #1 on:** Jun 25, 2018

Answer to Question 1

Correct Answer: 1
Postpoliomyelitis syndrome is a complication of a previous infection by the poliomyelitis virus. Polio was an epidemic in the 1940s and 1950s but has largely been eradicated through immunization with oral live trivalent virus vaccine. It is estimated that nearly 25 to 50 of the estimated 440,000 people in the United States who had contracted the disease are reexperiencing acute manifestations. Manifestations involve muscles that were initially infected as well as new muscle groups. The manifestations include progressive muscle weakness, fatigue, and pain, leading to muscle atrophy and scoliosis. The cause of this syndrome is unknown.

Answer to Question 2

Correct Answer: 1, 4
A laminectomy is the removal of part of the vertebral lamina, the bony arch on the dorsal surface. The surgery is done to relieve pressure on the nerves. A spinal fusion is the insertion of a wedge-shaped piece of bone or bone chips between the vertebrae to stabilize them. A spinal fusion may also be done by placing a hollow titanium cylinder within the spine. Foraminotomy is a surgical procedure to enlarge the space where a spinal nerve exits the spinal canal.