Practice Quiz

CMSRN Medical-Surgical Nursing

Category - Neuro/Muscular

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A client had a laminectomy and spinal fusion yesterday. Which statement is to be excluded from your plan of care?
  1. Before log rolling, place a pillow under the client’s head and a pillow between the client’s legs.
  2. Before log rolling, remove the pillow from under the client’s head and use no pillows between the client’s legs.
  3. Keep the knees slightly flexed while the client is lying in a semi-Fowler’s position in bed.
  4. Keep a pillow under the client’s head as needed for comfort.
Explanation
Answer - B - Before log rolling, remove the pillow from under the client’s head and use no pillows between the client’s legs. Following a laminectomy and spinal fusion, it is important that the back of the patient be maintained in straight alignment and to support the entire vertebral column to promote complete healing.
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