A nurse is caring for a client who is postoperative following a laminectomy with spinal fusion. Which of the following actions should the nurse take?
Position the client in a high-Fowler's position if clear drainage is noted on the dressing
Monitor sensory perception of the lower extremities.
Assist the client into a knee-chest position to manage postoperative discomfort.
Maintain strict bed rest for the first 48 hr postoperative.
The Correct Answer is B
A. Positioning the client in a high-Fowler's position if clear drainage is noted on the dressing is not a specific intervention for a laminectomy with spinal fusion. The nurse should follow the surgeon's specific postoperative orders regarding positioning and wound care.
B. Monitoring sensory perception of the lower extremities is a crucial nursing intervention after a laminectomy with spinal fusion. This is to assess for any signs of neurovascular compromise or nerve damage.
C. Assisting the client into the knee-chest position to manage postoperative discomfort is not a recommended position after a laminectomy with spinal fusion. The nurse should follow the surgeon's specific postoperative orders regarding positioning.
D. Maintaining strict bed rest for the first 48 hours postoperative is not typically indicated after a laminectomy with spinal fusion. Early mobilization and ambulation are often encouraged to prevent complications and promote recovery. The nurse should follow the surgeon's specific postoperative orders regarding activity and mobility.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["43.2"]
Explanation
- To calculate the dose of enoxaparin, first convert the client's weight from pounds to kilograms by dividing by 2.2.
- 95 lbs / 2.2 = 43.18 kg
- Then, multiply the weight in kilograms by the prescribed dose of 1 mg/kg. - 43.18 kg x 1 mg/kg = 43.18 mg
- Finally, round the answer to the nearest tenth of a milligram.
- 43.18 mg ≈ 43.2 mg
- Therefore, the nurse should administer 43.2 mg of enoxaparin per dose subcutaneously every 12 hours.
Correct Answer is B
Explanation
A. This statement is incorrect. Drying time is actually shorter with a synthetic cast compared to a plaster cast. Synthetic casts use a chemical reaction for hardening, which typically sets faster than the drying process of plaster.
B. Correct. A synthetic cast is generally lighter in weight compared to a plaster cast. This can be more comfortable for the patient and may provide better mobility.
C. This statement is incorrect. Plaster casts do not necessarily require expensive equipment for application. Both types of casts require appropriate materials and training for application, but cost can vary based on factors like the type of material and the specific clinical setting.
D. This statement is incorrect. Both plaster and synthetic casts are effective for immobilizing bone fractures when applied correctly. The choice between the two often depends on factors such as the type of fracture, patient comfort, and clinician preference.
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