The nurse is working on a neurosurgical unit. Which of the following nursing interventions are included in the plan of care following spinal surgery? Select all that apply

A) Monitor vital signs
B) Intake and output
C) Coughing and deep breathing
D) PEARLA
E) Neurovascular assessment of the lower extremity
F) Dressing assessment


A, B, C, E, F
Feedback:
All of the following nursing interventions would be included in the plan of care except for PEARLA. Assessment of the pupils is informative for a client with neurologic symptoms resulting from a head injury.

Nursing

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