A 17-year-old patient is returning to the surgical unit after Luque instrumentation for scoliosis repair. In addition to the usual postoperative care, what additional intervention will be needed?
a. Position changes are made by log rolling.
b. Assistance is needed to use the bathroom.
c. The head of the bed is elevated to minimize spinal headache.
d. Passive range of motion is instituted to prevent neurologic injury.
a. Position changes are made by log rolling.
After scoliosis repair using a Luque procedure, the adolescent is turned by log rolling to prevent damage to the fusion and instrumentation. The patient is kept flat in bed for the first 12 hours and is not ambulatory until the second or third postoperative day. A urinary catheter is placed. The head of the bed is not elevated until the second postoperative day. Range of motion exercises are begun on the second postoperative day.
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