The nurse is caring for an adolescent diagnosed with scoliosis who just arrived to the floor from the recovery room after a Spinal fusion surgery. The nurse should question which physician order?

Out of bed three times daily & ad lib.

Assess neurological status every 4 hours.

Logroll only to change position.

Monitor vital signs every 4 hours.

Answer and Explanation

The Correct Answer is A

After spinal fusion surgery, it is important to limit the patient's activity and movement to allow for proper healing and to prevent complications. The order to have the patient out of bed three times daily and ad lib (as desired) is not appropriate immediately after surgery.

The other orders listed are appropriate for the postoperative care of a patient who has undergone spinal fusion surgery:

Assess neurological status every 4 hours: This is important to monitor for any changes in neurological function, which could indicate complications such as nerve damage or spinal cord compression.
Logroll only to change position: Logrolling is a technique used to move patients with spinal fusion surgery while keeping their spine aligned and minimizing stress on the surgical site. This order is appropriate to ensure proper positioning and prevent injury to the surgical area.
Monitor vital signs every 4 hours: Monitoring vital signs helps to assess the patient's overall condition and detect any signs of complications such as bleeding or infection.

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Correct Answer is ["250"]

Explanation

To calculate the rate at which the nurse should set the IV pump in mL/hr, we need to determine the infusion rate.

The client is receiving 1 gram of antibiotic in 500 ml of fluid over 2 hours. To find the rate in mL/hr, we divide the total volume (500 ml) by the total time (2 hours):

Rate = Volume / Time Rate = 500 ml / 2 hours Rate = 250 ml/hr

Therefore, the nurse should set the IV pump at a rate of 250 mL/hr.

A. I can use a cool air dryer to help circulate air to relieve the itch. B. I can use a hot air dryer to help circulate air to relieve the itch. C. "I can use a damp towel to trickle water into the cast to relieve the Itch." D. "I can use a plastic hanger to slide into the cast to relieve the Itch."

Correct Answer is A

Explanation

This statement demonstrates an understanding of proper cast care for itch relief. Using a cool air dryer on a low setting can help circulate air and provide relief from itching under the cast. It is important not to use a hot air dryer as it may cause discomfort, skin irritation, or burn. Trickling water or inserting objects into the cast can lead to moisture accumulation and potential complications.

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The nurse is caring for an adolescent diagnosed with scoliosis who just arrived to the floor from the recovery room after a Spinal fusion surgery. The nurse should question which physician order?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The client is to receive an antibiotic 1 gram in 500 ml of fluid intravenously over 2 hours. At what rate will the nurse set the IV pump in mL/hr.? (Answer as whole number)

Correct Answer is ["250"]

Explanation

A 5-year-old with an arm cast from a fractured wrist complains of itching under his cast. The nurse knows cast care teaching for the parent has been successful when the parent states:

Correct Answer is A

Explanation

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