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.Cevap
- Place a pillow between the client's knees when lying on their side.Cevap
- 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.Cevap
Cevap
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.
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Anahtar Kavram
Postoperative spinal precautions and proper positioning