The nurse is preparing an adolescent with scoliosis for a Luque-rod segmental spinal instrumentation procedure. Which consideration should the nurse include?
a. Nasogastric intubation and urinary catheter may be required.
b. Ambulation will not be allowed for up to 3 months.
c. Surgery eliminates the need for casting and bracing.
d. Discomfort can be controlled with nonpharmacologic methods.
ANS: A
Luque-rod segmental spinal instrumentation is a surgical procedure. Nasogastric intubation and urinary catheterization may be required. Ambulation is allowed as soon as possible. Depending on the instrumentation used, most patients walk by the second or third postoperative day. Casting and bracing are required postoperatively. The child usually has considerable pain for the first few days after surgery. Intravenous opioids should be administered on a regular basis.
You might also like to view...
Which of the following are passive transport mechanisms that move material across the cell membranes? (Select all that apply.)
a. Diffusion b. Evaporation c. Filtration d. Osmosis e. Mitosis f. Anaphase
When working with older adults with chronic illness and exacerbations, what action by the nurse is most appropriate?
a. Continually assess the patients for adhe-rence to the regime. b. Assess the patients for ways they can re-main in control. c. Teach the patients about the illness tra-jectory. d. Routinely review all medications the pa-tients are taking.
As part of a prenatal class about the structures involved in pregnancy and their function, the nurse discusses the placenta, explaining that its function is to:
A) Prevent passage of antibodies from mother to child B) Provide a direct exchange of blood between mother and child C) Provide an exchange of metabolic products between mother and child D) Prevent passage of teratogenic agents from mother to child
A client with recently diagnosed hypertension has been receiving guidance from many different multidisciplinary health care providers. The client asks the nurse why one person doesn't just take care of her. The nurse responds:
1. "Clients have the best outcomes when there is a multidisciplinary approach to care.". 2. "Clients enjoy different providers; it keeps it interesting.". 3. "Clients remember things when they hear it from different sources.". 4. "Clients get a better-rounded education if it doesn't come from the nurse.".