A child returns from spinal-fusion surgery. Which item is the ...

[Anajune7]

A child returns from spinal-fusion surgery. Which item is the priority assessment for this child?
 
  1. Increased intracranial pressure
  2. Seizure activity
  3. Impaired pupillary response during neurological checks
  4. Impaired color, sensitivity, and movement to lower extremities

Question 2

An adolescent client must wear a brace for the correction of scoliosis. Which nursing diagnosis is most appropriate for this client?
 
  1. Risk for Impaired Skin Integrity
  2. Risk for Altered Growth and Development
  3. Risk for Impaired Mobility
  4. Risk for Impaired Gas Exchange

[gabrielle_lawrence]

Answer to Question 1

Correct Answer: 4
Rationale: When the spinal column is manipulated, there is a risk for impaired color, sensitivity, and movement to lower extremities. The other signs are neurological impairment and are not high risk with spinal surgery.

Answer to Question 2

Correct Answer: 1
Rationale: The skin should be monitored for breakdown in any area the brace may rub. The other diagnoses would not be a priority and should be corrected by the wearing of the brace.

[Anajune7]

Thanks for the timely response, appreciate it

[scottmt]

Excellent