A nurse is planning care for an adolescent who is postoperative following scoliosis repair with Harrington rod instrumentation. Which of the following interventions should the nurse include in the plan of care?

Reposition the client by log rolling every 4 hr.

Place the client in protective isolation.

Keep the head of the bed at a 30° angle.

Initiate the use of a PCA pump for pain control.

Answer and Explanation

The Correct Answer is D

a. Log rolling is an appropriate technique to reposition a postoperative scoliosis repair patient as it minimizes stress on the spine and helps maintain spinal alignment. Patients need frequent repositioning to prevent pressure ulcers and promote comfort, but every 4 hours may not be frequent enough; typically, every 2 hours is recommended.

b. Protective isolation is not typically required for patients undergoing scoliosis surgery unless they have specific risk factors for infection (e.g., immunocompromised status). Standard postoperative care focuses on monitoring for infection at the surgical site rather than isolation unless indicated by the patient's condition.

c. While it’s important to elevate the head of the bed to assist with breathing and comfort, after scoliosis surgery, the head of the bed is generally elevated to 30-45° to facilitate lung expansion and reduce the risk of aspiration. However, it should be ensured that this angle does not compromise spinal alignment, especially in the early postoperative period.

d. The use of a patient-controlled analgesia (PCA) pump is an appropriate intervention for pain management after scoliosis surgery. It allows the patient to self-administer pain medication within prescribed limits, leading to more effective pain management, improved patient satisfaction, and potentially reduced need for supplemental analgesics.

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Correct Answer is ["B","D","E"]

Explanation

Preschool-age children often have a limited understanding of death and may believe that their thoughts can cause death.

They may also view death as similar to sleep 1 and may think that death is a punishment.

Choice A is not correct because preschool-age children may not necessarily be interested in what happens to the body after death.

Choice C is not correct because preschool-age children usually do not recognize that death is permanent.

A. Semi-Fowler's. B. Prone C. Trendelenburg. D. on the unoperated side

Correct Answer is D

Explanation

A. Semi-Fowler's. While this position can help with drainage, it is generally not the first choice immediately after VP shunt surgery.

B. Prone.This position is generally not recommended as it can cause discomfort and increase intracranial pressure.

C. Trendelenburg. This position is contraindicated as it can significantly increase intracranial pressure.

D. on the unoperated side. This position helps prevent pressure on the operative site and facilitates drainage of cerebrospinal fluid. It also reduces the risk of complications associated with increased intracranial pressure.

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A nurse is planning care for an adolescent who is postoperative following scoliosis repair with Harrington rod instrumentation. Which of the following interventions should the nurse include in the plan of care?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a preschool-age child who is dying. Which of the following findings is an age-appropriate reaction to death by the child? (Select all that apply).

Correct Answer is ["B","D","E"]

Explanation

A nurse is caring for a child who is postoperative following ventriculoperitoneal (VP) shunt placement. In which of the following positions should the nurse place the client?

Correct Answer is D

Explanation

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