Patho Patho #74

Question

The nurse is teaching a client with degenerative disc disease (DDD). The nurse will teach that which activity exacerbates the pain associated with DDD?

Answers

  1. 1. Sneezing
    • Rationale:

      This answer is correct as a sudden yet common movement worsens a pain in the neck or lower back, DDD is the likely diagnosis.

  2. 2. Lying down
    • Rationale:

      This answer choice is not correct as lying down should relieve the pressure on the areas affected by DDD and not exacerbate pain.

  3. 3. Stretching
    • Rationale:

      This answer choice is not correct as stretching exercises can actually help to relieve the pain in most cases of DDD and should not exacerbate pain.

  4. 4. Swimming
    • Rationale:

      This answer choice is not correct as swimming does not place pressure on the vertebrae affected by DDD and should not exacerbate the pain associated with the disorder.

Overview

The focus of this question is asking the nurse about client teaching for a client with degenerative disc disease (DDD). DDD is osteoarthritis of the spine, usually occurring in the neck or lower back. If a client has a sharp pain in this area that worsens with a common occurrence, such as sneezing, this could indicate a possible diagnosis of DDD.

Explanation

Learning Outcomes

DDD is usually caused by a sudden injury leading to the herniation of a disc usually in the neck or lower back. If a common movement, such as sneezing, worsens the pain, this helps confirm a diagnosis of DDD. Additional activities that may exacerbate the pain associated with DDD include sitting, standing, coughing, or bending forward.

Test Taking Tip

Look at each answer choice and attempt to identify one that significantly stands out from the others. Sneezing is not a typical physical activity and answers that stand out like these should be evaluated very closely as many times, unique appearing answer choices are correct.

Video Rationale