A client has a herniated nucleus pulposus at L5-S1, causing swelling toward the right spinal nerve root. Where would the nurse anticipate the client will feel pain or discomfort?
1. Radiating down the right hip to the thigh
2. Along the lower left side of the back and down to the left calf
3. Lower back bilaterally
4. From across the pelvis to the center of the lower back
Answer: 1
A herniated nucleus pulposus of L5-S1 will affect primarily the lower back, with radiation down one leg, and depending on which area the swelling impinges on, the spinal nerve root. In this case, it would be radiating down the right leg. The pain is most often not felt bilaterally or across the pelvis.
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