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?

Offer sips of water 4 hr following surgery.

Assist the adolescent to ambulate 12 hr following surgery.

Maintain the head of the bed at a 30° angle.

Ensure two nurses logroll the adolescent every 2 hr.

Answer and Explanation

The Correct Answer is D

A.   Offering sips of water 4 hours following surgery may be too early and could increase the risk of postoperative complications such as nausea and vomiting.
B.   Assisting the adolescent to ambulate 12 hours following surgery may be too early depending on the surgical procedure and the adolescent's condition.
C.   Maintaining the head of the bed at a 30° angle is incorrect because this position increases pressure on the spinal cord and can cause complications.
D.   Logrolling the adolescent every 2 hours prevents spinal injury and promotes healing by keeping the spine in alignment

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Correct Answer is A

Explanation

A. Packed red blood cells should typically be infused within 4 hours to reduce the risk of bacterial contamination and ensure potency.
B. Dextrose 5% in water is not typically infused with packed RBCs; the focus is on administering blood products as prescribed.
C. Blood products are typically stored under controlled conditions and transfused promptly after verification and compatibility checks.
D. Filtered IV tubing is often used for blood transfusions to minimize the risk of air embolism and particle infusion, but it's not the primary intervention listed for the scenario.

A. "You should cut and file your child's fingernails frequently." B. "Your child's condition is contagious when lesions are present." C. "You should apply emollients to your child's skin after bathing." D. "You should use a mild detergent for your child's laundry." E. "You should apply a thick layer of pimecrolimus cream to your child's lesions. F. "You can apply gloves to your child's hands." G. "Your child will experience occasional flare-ups of this condition."

Correct Answer is ["A","C","D","F","G"]

Explanation

A. Cutting and filing the child's fingernails frequently can help prevent scratching and further irritation of the skin.
B. Atopic dermatitis is not contagious, so this statement is incorrect.
C. Applying emollients (moisturizers) to the child's skin after bathing can help hydrate the skin and reduce itching.
D. Using a mild detergent for the child's laundry can help minimize skin irritation.
E. Pimecrolimus cream is a topical immunomodulator that may be used for atopic dermatitis, but the thick layer application is not typically recommended for children due to safety concerns.
F. Applying gloves to the child's hands can prevent scratching and further damage to the skin.
G. Atopic dermatitis often has periods of exacerbation (flare-ups) followed by periods of improvement.

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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?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Correct Answer is A

Explanation

Nurses' Notes

Correct Answer is ["A","C","D","F","G"]

Explanation

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Resources

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?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is planning care for a child who has a prescription to transfuse 2 units of packed RBCs. Which of the following interventions should the nurse include in the plan of care?

Correct Answer is A

Explanation

Nurses' Notes

Correct Answer is ["A","C","D","F","G"]

Explanation

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