The nurse is preparing an adolescent with scoliosis for a ...

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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.

Question 2

A school nurse is conducting a staff in-service to other school nurses on idiopathic scoliosis. During which period of child development does idiopathic scoliosis become most noticeable?
 
  a. Newborn period
  b. When child starts to walk
  c. Preadolescent growth spurt
  d. Adolescence

[Pamela.irrgang@yahoo.com]

Answer to Question 1

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.

Answer to Question 2

ANS: C
Idiopathic scoliosis is most noticeable during the preadolescent growth spurt. Idiopathic scoliosis is seldom apparent before age 10 years. Diagnosis usually occurs during the preadolescent growth spurt.

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