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Soru

Zorluk: OrtaBasic Care and Comfort

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.

  1. Keep the client's spine in a straight, neutral alignment during routine care.Cevap
  2. Utilize the logrolling technique with the assistance of additional staff when turning the client.Cevap
  3. Offer a fracture bedpan for elimination needs to minimize movement of the lower back.Cevap
  4. D
    Elevate the head of the bed to a high-Fowler's position when assisting the client with meals.
  5. E
    Delegate the evaluation of the surgical incision site to the unlicensed assistive personnel.
  6. F
    Allow the client to twist their upper torso slightly to reach items placed on the bedside table.

Cevap

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.

Adım Adım Çözüm

1
Analyze the client's condition and post-operative requirements.
The client had a spinal fusion and is on strict bed rest, requiring maintenance of spinal alignment to prevent hardware failure and spinal cord injury.
Spinal fusion requires the vertebral column to remain immobilized and straight during the initial healing phase.
2
Evaluate each intervention for safety, proper body mechanics, and scope of practice.
Logrolling, keeping the spine neutral, and using a fracture bedpan maintain proper alignment. High-Fowler's position, twisting, and delegating assessment are contraindicated.
Improper positioning compromises the surgical site; additionally, assessing incisions falls strictly outside the scope of unlicensed assistive personnel.

Anahtar Kavram

Post-operative basic care, positioning, and safety following spinal fusion surgery.
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Konular

Basic Care and Comfort

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