A practical nurse is providing basic care for an adolescent client who is on strict bed rest following a spinal fusion surgery for scoliosis. Which of the following actions should the nurse implement to promote comfort and safety? Select all that apply.
- Keep the client's spine in a straight, neutral alignment during routine care.Answer
- Utilize the logrolling technique with the assistance of additional staff when turning the client.Answer
- Offer a fracture bedpan for elimination needs to minimize movement of the lower back.Answer
- DElevate the head of the bed to a high-Fowler's position when assisting the client with meals.
- EDelegate the evaluation of the surgical incision site to the unlicensed assistive personnel.
- FAllow the client to twist their upper torso slightly to reach items placed on the bedside table.
Answer
The appropriate actions are to keep the spine in a straight alignment, utilize the logrolling technique with additional staff assistance, and offer a fracture bedpan.
Following a spinal fusion, it is essential to maintain the spine in a neutral, straight alignment to prevent injury to the surgical site and promote proper healing. Utilizing the logrolling technique with multiple staff members allows the entire body to turn as a single unit, completely avoiding any twisting of the spine. Furthermore, using a fracture bedpan is appropriate for basic care because its flat lip requires significantly less lifting of the pelvis, minimizing stress on the lower back during elimination.
Step-by-Step Solution
Key Concept
Post-operative basic care, positioning, and safety following spinal fusion surgery.