NCLEX-PN

Category - Basic Care

The nurse is caring for a client admitted for lumbar laminectomy. After the surgery, which of the following actions by the nurse is the most effective in preventing post-operative complications?
  1. Reinforce the importance of avoiding sneezing and breathing exercises
  2. Keep the client flat in bed
  3. Elevate the head of bed to 30-degrees
  4. Maintain a darkened room without any stimulation
Explanation
Answer: B - To maintain the spine’s alignment, the client should be kept flat in the bed. When the client has to be repositioned, the nurse should utilize the log-rolling technique. Breathing exercises should be reinforced after the surgery to prevent respiratory infections. A darkened room is not included in the care plan for a post-laminectomy client.
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