Page 2118 - Saunders Comprehensive Review For NCLEX-RN

muscles.

2. Motor and sensory deficits can include

paresthesia, numbness, and weakness of the upper
extremities.

3. Interventions

a. Conservative management is used
unless the client develops signs of
neurological deterioration.
b. Bed rest is prescribed to decrease
pressure, inflammation, and pain.
c. Immobilize the cervical area with a
cervical collar or brace.
d. Apply heat to reduce muscle spasms
and apply ice to reduce inflammation
and swelling.
e. Maintain head and spine alignment.
f. Instruct the client in the use of
analgesics, sedatives, antiinflammatory
agents, and corticosteroids as
prescribed.
g. Prepare the client for a corticosteroid
injection into the epidural space if
prescribed.
h. Assist and instruct the client in the use
of a cervical collar or cervical traction
as prescribed.
4. Cervical collar is used for cervical disk herniation.
a. A cervical collar limits neck movement
and holds the head in a neutral or
slightly flexed position.
b. The cervical collar may be worn
intermittently or 24 hours daily.
c. Inspect the skin under the collar for
irritation.
d. When prescribed and after pain
decreases, exercises are done to
strengthen the muscles.

5. Client education related to cervical disk

conditions
a. Avoid flexing, extending, and rotating
the neck.
b. Avoid the prone position and maintain
the neck, spine, and hips in a neutral
position while sleeping.

2118