A client has undergone a laminectomy and diskectomy at L3-4 and L4-5 with spinal fusion at those levels. Postoperatively the nurse would expect to include in the client's care which of the following?
Use of a Foley catheter for ease of urinary elimination
Use of a cane for ambulation
Application of heat to the surgical area
Back brace to be applied before getting out of bed
The Correct Answer is D
A. A Foley catheter is used postoperatively if the client is unable to void, but its use should be temporary, not for ease of elimination long-term.
B. A cane may be needed for ambulation after recovery, but immediately postoperatively, focus is on spinal stability.
C. Heat application is generally not recommended immediately after spinal surgery, as it could increase swelling and inflammation.
D. A back brace helps maintain spinal stability and prevents excessive movement that could disrupt the healing process after spinal fusion surgery.
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Related Questions
Correct Answer is D
Explanation
A. A Foley catheter is used postoperatively if the client is unable to void, but its use should be temporary, not for ease of elimination long-term.
B. A cane may be needed for ambulation after recovery, but immediately postoperatively, focus is on spinal stability.
C. Heat application is generally not recommended immediately after spinal surgery, as it could increase swelling and inflammation.
D. A back brace helps maintain spinal stability and prevents excessive movement that could disrupt the healing process after spinal fusion surgery.
Correct Answer is ["1700"]
Explanation
1. Calculate the remaining volume of fluid:
Remaining volume = Total volume - Volume infused
Remaining volume = 1000 mL - 500 mL = 500 mL
2. Calculate the remaining infusion time:
Remaining infusion time = Remaining volume / Infusion rate
Remaining infusion time = 500 mL / 100 mL/hr = 5 hours
3. Determine the time the infusion will be complete:
Current time: 1200 (12:00 PM)
Remaining infusion time: 5 hours
Time of completion: 1200 (12:00 PM) + 5 hours = 1700
Therefore, the nurse should expect to hang a new bag at 1700
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