The pediatric nurse discusses home care with the parents of a patient who is returning home following a spinal fusion. Which teaching points will the nurse include in the discharge teaching for this patient? (Select all that apply.)
A.
Allow the child to return to school about 4 to 6 weeks following surgery.
B.
Encourage ambulation when permitted, usually 2 to 3 weeks postoperatively.
C.
Explain activity restrictions such as no twisting, bending, or lifting.
D.
Maintain a regular diet with added calcium, fiber, fluids, and vitamin C.
E.
Participation in contact sports such as football needs to be delayed for 1 year.
ANS: A, C, D
The child may return to school about 4 to 6 weeks after surgery. Explain activity restrictions to the child and caregivers (no twisting or bending, no lifting of heavy objects, no contact or high-impact sports for 2 years). A regular diet with added calcium, fiber, vitamin C, and fluids is maintained. Ambulation is encouraged when it is permitted, usually about 5 days postoperatively. Participation in contact sports is not allowed for 2 years.
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