Difficulty: Medium
Average Score: 69%
Simulated
A 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
D
Rationale
The correct answer is D: Ensure two nurses logroll the adolescent every 2 hr. This is important post-scoliosis repair with spinal instrumentation to prevent complications like pressure ulcers or injury to the surgical site. Logrolling helps maintain alignment of the spine and reduces strain on the surgical area. Offering sips of water 4 hr postop (A) may not be appropriate due to anesthesia effects. Ambulating 12 hr postop (B) may be too early and risky. Maintaining the bed at a 30┬░ angle (C) is not specific to spinal surgery care.