Author Question: After spinal fusion surgery the nurse should check for signs of what? a. Seizure activity b. ... (Read 35 times)

erika

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After spinal fusion surgery the nurse should check for signs of what?
 
  a. Seizure activity
  b. Increased intracranial pressure
  c. Impaired color, sensitivity, and movement to the lower extremities
  d. Impaired pupillary response during neurologic checks

Question 2

What should the nurse plan for an immobilized child in cervical traction to prevent deep vein thrombosis (DVT)?
 
  a. Elevate the child's legs.
  b. Place a foot cradle on the bed.
  c. Place a pillow under the child's knees.
  d. Assist the child to dorsiflex the feet and rotate the ankles.



mochi09

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Answer to Question 1

ANS: C
In addition to the usual postoperative assessments of wound, circulation, and vital signs, the neurologic status of the patient's extremities requires special attention. Prompt recognition of any neurologic impairment is imperative because delayed paralysis may develop that requires surgical intervention

Answer to Question 2

ANS: D
For a child who is immobilized, circulatory stasis and DVT development are prevented by instructing patients to change positions frequently, dorsiflex their feet and rotate the ankles, sit in a bedside chair periodically, or ambulate several times daily. Elevating the legs or placing a foot cradle on the bed will not prevent DVTs. A pillow under the knee would impair circulation, not improve it.



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