Ati rn pediatrics 2023 proctored exam
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?
Explanation & Rationale
A. Logrolling is a specific turning technique used to maintain spinal alignment post-operatively. It requires two nurses to prevent injury to the spine. B. While elevating the head of the bed is important to prevent respiratory complications, a 30° angle is too high for a patient with spinal instrumentation. A lower angle is typically recommended to maintain spinal alignment. C. Early ambulation is encouraged after surgery, but 12 hours is too soon. The adolescent will likely be on bed rest for several days to allow the fusion to stabilize. D. Clear liquids are often introduced earlier than 4 hours post-surgery, once bowel sounds return and there is no evidence of nausea or vomiting.
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