An adult client has returned to the surgical unit after undergoing a lumbar laminectomy. The practical nurse is providing basic care and comfort measures. Which of the following actions should the nurse implement when turning and positioning this client? Select all that apply.
- Logroll the client using a draw sheet and the assistance of another staff member.Answer
- BInstruct the client to grasp the side rails and twist their shoulders to initiate a turn.
- Place a pillow between the client's legs prior to turning them onto their side.Answer
- DElevate the head of the bed to a 90-degree angle to assist the client with eating.
- Maintain the client's spine in a straight alignment at all times during position changes.Answer
Answer
The nurse should logroll the client with assistance, place a pillow between the client's legs before turning, and maintain the spine in a straight alignment at all times.
Following a lumbar laminectomy, the client's spine must be kept perfectly straight to heal correctly and prevent nerve damage. Logrolling with a draw sheet and another staff member ensures the shoulders and hips move as a single unit. Placing a pillow between the legs prevents spinal rotation when side-lying, and maintaining a straight alignment is the fundamental rule for this procedure.
Step-by-Step Solution
Key Concept
Postoperative positioning and mobility for spinal surgery (lumbar laminectomy) require strict maintenance of spinal alignment.