A client has just returned from surgery after undergoing a lumbar laminectomy. Which of the following would be most important to do when positioning the client in bed?

Using a logrolling motion to change positions

Allowing the client to sit up at the edge of the bed

Keeping the knees flat with the head on a pillow

Maintaining full knee flexion when lying on the side

Answer and Explanation

The Correct Answer is A

A. Using a logrolling motion to change positions: Logrolling maintains spinal alignment and prevents stress on the surgical site.

B. Allowing the client to sit up at the edge of the bed: Sitting at the edge of the bed can strain the lumbar region.

C. Keeping the knees flat with the head on a pillow: Slight knee elevation is often preferred to reduce tension on the lumbar area.

D. Maintaining full knee flexion when lying on the side: Full knee flexion can strain the spine and hinder alignment.

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Correct Answer is B

Explanation

A. Provide relief from pain and discomfort: While pain management is important, maintaining immobilization and alignment is more critical for proper bone healing.

B. Maintain immobilization and alignment: Proper alignment and immobilization prevent further injury, promote healing, and support functional recovery.

C. Provide optimal nutrition and hydration: Good nutrition is essential for healing but is not the highest priority compared to ensuring immobilization and alignment.

D. Promote independence in activities of daily living: This is a long-term goal but not an immediate priority during the healing process.

A. Glucose B. Ammonia C. Bicarbonate D. Potassium

Correct Answer is B

Explanation

A. Glucose: Lactulose does not affect glucose levels; it is used to reduce ammonia levels.

B. Ammonia: Lactulose traps ammonia in the gut and facilitates its excretion, which is vital for managing hepatic encephalopathy in cirrhosis.

C. Bicarbonate: Lactulose does not act on bicarbonate levels.

D. Potassium: Lactulose can cause hypokalemia as a side effect but does not directly reduce potassium levels.

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A client has just returned from surgery after undergoing a lumbar laminectomy. Which of the following would be most important to do when positioning the client in bed?

Nursing Test Bank

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Explanation

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Explanation

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