A preadolescent client is recovering from spinal fusion surgery for scoliosis. Which interventions would be appropriate related to movement restrictions and pain?
Select all that apply.
A) Reposition every 2 hours.
B) Monitor intake and output.
C) Encourage and assist with ROM exercises every 4 hours while awake.
D) Administer pain medication around the clock.
E) Encourage incentive spirometer use every 4 hours while awake.
Answer: A, C, D
Interventions appropriate for a preadolescent client recovering from spinal fusion to address Impaired Physical Mobility related to movement restrictions and pain would include repositioning every 2 hours, encouraging and assisting with ROM exercises every 4 hours while awake, and administering pain medication around the clock. The use of an incentive spirometer would be applicable for Impaired Tissue Perfusion. Monitoring intake and output would be applicable for either Fluid Volume Excess or Deficit.
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