Difficulty: Medium
Average Score: 77%
Simulated
Passage / Scenario
Adolescent following scoliosis repair with spinal instrumentationA nurse is planning postoperative care for an adolescent following scoliosis repair with spinal instrumentation. Which of the following actions should the nurse include in the plan of care?
Correct answer
A
Rationale
The correct answer is A: Ensure two nurses logroll the adolescent every 2 hr. This is important post-scoliosis repair with spinal instrumentation to prevent injury to the surgical site. Logrolling helps maintain proper alignment of the spine and reduces stress on the incision site. Two nurses are needed to ensure proper technique and to prevent strain on one nurse.
Choice B, maintaining the head of the bed at a 30┬░ angle, is incorrect because it is not a priority action post-surgery and may not directly impact the surgical site. Choice C, assisting the adolescent to ambulate 12 hr following surgery, is incorrect because early ambulation is beneficial but may not be appropriate immediately post-surgery. Choice D, offering sips of water 4 hr following surgery, is incorrect because oral intake is typically restricted immediately after surgery to prevent complications.
Choice B, maintaining the head of the bed at a 30┬░ angle, is incorrect because it is not a priority action post-surgery and may not directly impact the surgical site. Choice C, assisting the adolescent to ambulate 12 hr following surgery, is incorrect because early ambulation is beneficial but may not be appropriate immediately post-surgery. Choice D, offering sips of water 4 hr following surgery, is incorrect because oral intake is typically restricted immediately after surgery to prevent complications.