A nurse is caring for a client who is postoperative following a laminectomy. Which of the following findings should the nurse report to the provider immediately?
Explanation & Rationale
Choice A reason: Clear drainage may be serous and normal post-laminectomy, but cerebrospinal fluid leakage is a complication. Numbness is more urgent, indicating a neurological issue, making this less immediate. Choice B reason: Muscle spasms are common post-laminectomy due to surgical irritation but are less critical than neurological deficits. Numbness suggests nerve compromise, making spasms a lower priority. Choice C reason: Numbness in the lower extremities indicates potential nerve compression or injury, a serious complication requiring immediate reporting. This could signal hematoma or misalignment, making this the priority finding. Choice D reason: Incision pain is expected post-laminectomy and manageable with analgesics. Numbness is a neurological red emergency flag, making pain less urgent for immediate reporting.