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More Questions ( 13 Questions)
A nurse is evaluating a client who has been receiving chiropractic therapy for chronic neck pain. The nurse should ask the client about which of the following adverse effects that may occur after chiropractic manipulation?
This statement is correct and the nurse should ask the client about headache as a possible adverse effect that may occur after chiropractic manipulation. Chiropractic manipulation is a manual therapy that involves applying controlled, sudden force to specific joints of the spine or other parts of the body to improve mobility and function¹². However, it may also cause some mild and transient side effects, such as headache, in 33-60% of patients¹². The mechanism of headache after chiropractic manipulation is not fully understood, but it may be related to changes in blood flow, muscle tension, or nerve irritation in the cervical region¹². Therefore, the nurse should assess the client for headache, its severity, duration, location, and associated symptoms, and advise the client to report any persistent or severe headache to his or her health care provider¹².
This statement is also correct and the nurse should ask the client about dizziness as a possible adverse effect that may occur after chiropractic manipulation. Dizziness is a common side effect of chiropractic manipulation, especially of the cervical spine¹². It may manifest as vertigo (a sensation of spinning or moving), disequilibrium (a sensation of imbalance or unsteadiness), or presyncope (a sensation of faintness or lightheadedness)¹². The mechanism of dizziness after chiropractic manipulation is not fully understood, but it may be related to changes in blood pressure, vestibular function, or proprioception in the cervical region¹². Therefore, the nurse should assess the client for dizziness, its type, severity, duration, triggers, and associated symptoms, and advise the client to report any persistent or severe dizziness to his or her health care provider¹².
This statement is also correct and the nurse should ask the client about nausea as a possible adverse effect that may occur after chiropractic manipulation. Nausea is a less common but possible side effect of chiropractic manipulation¹². It may be related to dizziness, anxiety, or visceral stimulation caused by spinal manipulation¹². Therefore, the nurse should assess the client for nausea, its severity, frequency, triggers, and associated symptoms, and advise the client to report any persistent or severe nausea to his or her health care provider¹².
This statement is correct because it includes all of the above statements. Chiropractic manipulation may cause various mild and transient side effects in some patients¹². Some of these side effects may include headache, dizziness, and nausea¹². Therefore, choice D is the best answer for asking the client about possible adverse effects that may occur after chiropractic manipulation..
Choice A reason: This statement is correct and the nurse should ask the client about headache as a possible adverse effect that may occur after chiropractic manipulation. Chiropractic manipulation is a manual therapy that involves applying controlled, sudden force to specific joints of the spine or other parts of the body to improve mobility and function¹². However, it may also cause some mild and transient side effects, such as headache, in 33-60% of patients¹². The mechanism of headache after chiropractic manipulation is not fully understood, but it may be related to changes in blood flow, muscle tension, or nerve irritation in the cervical region¹². Therefore, the nurse should assess the client for headache, its severity, duration, location, and associated symptoms, and advise the client to report any persistent or severe headache to his or her health care provider¹².
Choice B reason: This statement is also correct and the nurse should ask the client about dizziness as a possible adverse effect that may occur after chiropractic manipulation. Dizziness is a common side effect of chiropractic manipulation, especially of the cervical spine¹². It may manifest as vertigo (a sensation of spinning or moving), disequilibrium (a sensation of imbalance or unsteadiness), or presyncope (a sensation of faintness or lightheadedness)¹². The mechanism of dizziness after chiropractic manipulation is not fully understood, but it may be related to changes in blood pressure, vestibular function, or proprioception in the cervical region¹². Therefore, the nurse should assess the client for dizziness, its type, severity, duration, triggers, and associated symptoms, and advise the client to report any persistent or severe dizziness to his or her health care provider¹².
Choice C reason: This statement is also correct and the nurse should ask the client about nausea as a possible adverse effect that may occur after chiropractic manipulation. Nausea is a less common but possible side effect of chiropractic manipulation¹². It may be related to dizziness, anxiety, or visceral stimulation caused by spinal manipulation¹². Therefore, the nurse should assess the client for nausea, its severity, frequency, triggers, and associated symptoms, and advise the client to report any persistent or severe nausea to his or her health care provider¹².
Choice D reason: This statement is correct because it includes all of the above statements. Chiropractic manipulation may cause various mild and transient side effects in some patients¹². Some of these side effects may include headache, dizziness, and nausea¹². Therefore, choice D is the best answer for asking the client about possible adverse effects that may occur after chiropractic manipulation..
