An adolescent girl has spinal instrumentation surgery at 16 years of age. Immediately after this procedure, the nurse would teach her to:
always sleep prone.
wait to be log rolled before turning from one side to the other.
sit up, although this may hurt.
plan on 6 months of hospitalization.
The Correct Answer is B
A. Sleeping prone is not recommended following spinal surgery.
B. Log rolling prevents twisting the spine, which is crucial to avoid disrupting the instrumentation.
C. Sitting up immediately after surgery could cause pain and strain on the spine.
D. A six-month hospitalization is not typical following spinal instrumentation surgery.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. Assessing respiratory status and oxygen saturation is the priority to monitor for any respiratory distress.
B. Comfort measures can be provided but are secondary to assessing breathing difficulty.
C. Hydration is important but does not take precedence over respiratory assessment.
D. Administering a fever-reducing medication is supportive but does not address the breathing difficulty directly.
Correct Answer is {"dropdown-group-1":"E","dropdown-group-2":"D"}
Explanation
Pulmonary embolism: The child shows a slight decline in oxygen saturation (from 95% to 93%) and labored breathing, both of which can indicate early signs of respiratory complications.
Oxygen saturation levels: Decreased oxygen saturation is a concerning sign that points toward respiratory issues, which can include pulmonary embolism, especially in a post-trauma patient with limited mobility.
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