The nurse is caring for an adolescent with scoliosis who is recovering after a surgical spinal instrumentation. Which technique should the nurse use when moving the client?
Flex the knees.
Raise the hips.
Cross the arms and legs.
Perform a log roll.
The Correct Answer is D
Choice A rationale
Flexing the knees is not the recommended technique when moving a client who is recovering from surgical spinal instrumentation for scoliosis. While it may provide some comfort, it does not provide the necessary support to the spine that is needed during movement.
Choice B rationale
Raising the hips is not the recommended technique when moving a client who is recovering from surgical spinal instrumentation for scoliosis. This action could potentially cause strain or damage to the surgical site.
Choice C rationale
Crossing the arms and legs is not the recommended technique when moving a client who is recovering from surgical spinal instrumentation for scoliosis. This action does not provide the necessary support to the spine during movement.
Choice D rationale
Performing a log roll is the recommended technique when moving a client who is recovering from surgical spinal instrumentation for scoliosis. This technique involves the patient keeping their body in alignment while turning onto their side. It helps to maintain the integrity of the spinal fusion and prevent injury to the surgical site.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Choice B rationale
The absence of continuous headaches in the child indicates that the VP shunt is functioning normally. A VP shunt is used to treat hydrocephalus by draining excess cerebrospinal fluid from the brain to the abdomen. If the shunt is functioning properly, it should relieve pressure on the brain and reduce symptoms such as headaches.
Choice A rationale
While growth in height could be a positive sign of overall health and development, it does not specifically indicate that a VP shunt is functioning properly.
Choice C rationale
The presence of an intracranial pressure (ICP) monitoring probe does not indicate whether the shunt is functioning properly. The probe is a device used to measure ICP and does not provide information about the functionality of the shunt.
Choice D rationale
Being afebrile with normal vital signs postoperatively is a positive sign, but it does not specifically indicate that the shunt is functioning properly.
Correct Answer is B
Explanation
Choice A rationale
Using a disposable moist wipe to remove eye crusts can be helpful, but it’s not the most important instruction for caregivers. The crusts are a symptom of the infection, and while removing them can make the child more comfortable, it doesn’t address the underlying issue.
Choice B rationale
When using an ophthalmic anti-infective ointment, it is important to prepare the child for blurry vision after ointment application. This is because the ointment can temporarily blur vision after application. It is important to follow the instructions on the medication label and continue using the ointment for the full course of treatment, even if symptoms improve before then.
Choice C rationale
While it’s important to keep the eye area clean, wiping towards the opposite eye could potentially spread the infection. Therefore, this is not the best advice for caregivers.
Choice D rationale
Discontinuing the ointment once drainage resolves could lead to an incomplete treatment of the infection. It’s crucial to use the ointment for the full course of treatment as prescribed by the healthcare provider, even if symptoms seem to improve.
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