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?

Choice A reason: A patient-controlled analgesia pump delivers opioids for effective pain management post-scoliosis repair, a major surgery causing significant discomfort. Controlling pain reduces stress, promotes mobility, and supports healing by allowing the adolescent to participate in physical therapy without excessive pain hindering recovery. Choice B reason: Log rolling every 4 hours is insufficient; post-scoliosis surgery patients require more frequent repositioning (every 2 hours) to prevent pressure ulcers. Log rolling maintains spinal alignment, but the timing is critical to avoid skin breakdown, making this intervention partially correct but suboptimal. Choice C reason: Protective isolation is unnecessary post-scoliosis repair, as the procedure does not inherently increase infection risk requiring isolation. Standard precautions suffice, and isolation could hinder psychological recovery by limiting social interaction, which is important for adolescents post-surgery. Choice D reason: A 30-degree head elevation is not standard post-scoliosis repair, as patients typically remain flat to maintain spinal alignment with Harrington rods. Elevation may strain the surgical site, risking rod displacement or delayed healing, making this intervention inappropriate for postoperative care.