Practice Quiz

NCLEX-RN

Category - Reduction of Risk

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A nurse is receiving a post-laminectomy client from the post-anesthesia unit. To keep the client safe after surgery, the nurse should avoid which of the following during the postoperative period?
  1. Encouraging the client to use an overhead trapeze
  2. Turning the client using a log rolling technique
  3. Placing a pillow under the head with the knees slightly flexed during positioning
  4. Encouraging the client to increase fiber intake
Explanation
Answer - A - Using an overhead trapeze after surgery can twist the spine. Options B and C maintain the spine in neutral position. Opioids are usually administered after the surgery, which increases the risk for constipation. Constipation increases the colon volume, consequently applying pressure on the spine and the muscles that support the back. These events can lead to back pain. Increased fiber intake, administration of stool softeners, and increased fluid intake are initiated.
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