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?

Offer sips of water 4 hr following surgery.

Assist the adolescent to ambulate 12 hr following surgery.

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

Ensure two nurses logroll the adolescent every 2 hr.

Answer and Explanation

The Correct Answer is D

A.   Offering sips of water 4 hours following surgery may be too early and could increase the risk of postoperative complications such as nausea and vomiting.
B.   Assisting the adolescent to ambulate 12 hours following surgery may be too early depending on the surgical procedure and the adolescent's condition.
C.   Maintaining the head of the bed at a 30° angle is incorrect because this position increases pressure on the spinal cord and can cause complications.
D.   Logrolling the adolescent every 2 hours prevents spinal injury and promotes healing by keeping the spine in alignment

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Correct Answer is A

Explanation

A) Oral electrolyte solution helps prevent dehydration and replaces lost electrolytes in infants with acute diarrhea, making it the most appropriate choice.
B) Applesauce may worsen diarrhea due to its high sugar content.
C) White grape juice is also high in sugar and may worsen diarrhea.
D) Chicken soup is not recommended as it may be too heavy and rich for an infant with acute diarrhea.

A. Prone B. Lateral C. Supine D. Semi-Fowler's

Correct Answer is B

Explanation

A. Placing the child prone (face down) is not appropriate for a lumbar puncture.
B. Placing the child in a lateral position (lying on their side) with knees flexed is the correct position for a lumbar puncture as it allows for optimal access to the lumbar area.
C. Placing the child supine (on their back) is not ideal for a lumbar puncture as it does not provide the necessary access to the lumbar area.
D. Placing the child in semi-Fowler's position (lying on their back with the head of the bed elevated) is not typically used for lumbar puncture procedures.

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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?

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