A client who underwent a lumbar laminectomy the previous day requires morning care. To ensure safety and comfort, which actions should the practical nurse incorporate into the care plan? Select all that apply.
- Turn the client as a single unit using the logrolling method.Answer
- Place a pillow between the client's knees when lying on their side.Answer
- CPosition the client in a high-Fowler's position during mealtime.
- DInstruct the client to twist gently at the waist when reaching for items.
- Maintain the client's spinal alignment when assisting with bed mobility.Answer
Answer
The correct actions include turning the client as a single unit, placing a pillow between the knees when side-lying, and maintaining spinal alignment during mobility.
Following a lumbar laminectomy, the primary goal of basic care is to maintain the spine in a neutral position to facilitate healing and prevent injury. Logrolling, keeping a pillow between the legs to prevent hip rotation, and generally maintaining strict spinal alignment are all essential, safe practices that accomplish this goal.
Step-by-Step Solution
Key Concept
Postoperative spinal precautions and proper positioning