A nurse is planning care of an adolescent who is postoperative following a lumbar laminectomy
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- A nurse is planning care of an adolescent who is postoperative following a lumbar laminectomy. Which of the following interventions should the nurse include in the plan of care? Restrict oral fluid intake to 1,000 mL per day. Review the purpose of spinal Aug 1, 2022 · Post-Operative (Post-Op) Nursing Care starts when the patient is transferred out of the operating room. Which of the following interventions should the nurse include in the plan of care? and more. Which of the following tasks should the nurse plan to assign to an assistive personnel (AP)? (Select all that apply. Which of the following interventions should the nurse include? Use a log-rolling technique to reposition the adolescent. Select the food choices for the adolescent. The following are the expected outcomes in PACU: Study with Quizlet and memorize flashcards containing terms like A nurse is caring for a client who is postoperative following an above-the-knee amputation of the right leg and reports pain in the absent portion of the limb. Place the bed flat with a pillow under the client's head 3. Client is tachycardic, hypotensive, and tachypneic, with weak pulses, dry mucous membranes, poor turgor, and oliguria. A nurse is planning care of an adolescent who is postoperative following a lumbar laminectomy. Which of the following actions should the nurse plan to take?, A nurse is planning care for a client who has meningitis. Which of the following actions should the nurse take? a. Physical Exam 1200: Influenza with nausea, vomiting, and diarrhea for 3 days. Which of the following is the nurse's priority action? Determine the reasons why the client is refusing to use the incentive spirometer. B. A nurse is caring for a postoperative adult who refuses to use an incentive spirometer following major abdominal surgery. While the nurse is taking morning vital signs, the client begins to experience a seizure. which of the following interventions should the nurse include in the plan of care Nov 2, 2023 · In the plan of care for an adolescent who is postoperative following a lumbar laminectomy, the nurse should include allowing the adolescent to make decisions regarding their daily routine. Study with Quizlet and memorize flashcards containing terms like A Nurse is caring for a client who is postoperative following a total knee arthroplasty and has been prescribed a CPM machine and PCA. For clients with lumbar laminectomy: a. Press the adolescent the implicate the guardian as the perpetrator of the maltreatment. Early mobiliza-tion in postoperative lumbar laminectomy patients can help prevent hospital-acquired weakness, or infection, and decrease hospital length of stay (Rupich et al. Evaluate the clients ability to swallow. 4 C (101. This intervention promotes autonomy and independence during the recovery process. Offer the client a choice of beverages to drink 4. Elevate the head of the bed slightly. Expect clear drainage on the spinal dressing. , 2018). The AP has never transferred a client with an amputation before. Discuss the activities the client Capstone Nursing Care of Children Quizzes. Which of the following interventions should the nurse plan to include?, A nurse is assessing a client who has heart failure. Initiate the 1 day ago · Study with Quizlet and memorize flashcards containing terms like Complete the following sentence The nurse should first ________________ followed by ______________, A nurse is evaluating teaching for a client who has heart failure. 3 days ago · Study with Quizlet and memorize flashcards containing terms like A nurse is caring for a toiler who is 24hr postoperative following a cleft palate repair. For clients with cervical laminectomy: a. Which interventions will enhance family-centered care for this client and family? (Select all that apply) 1. Assist the client into a knee-chest position to manage postoperative discomfort. Study with Quizlet and memorize flashcards containing terms like A nurse is planning care for an adolescent who is postoperative following scoliosis repair with Harrington rod instrumentation. Which of the following changes should the nurse identify as an indication that the treatment was successful?, a nurse is caring for a client who is scheduled to be transferred to a long-term care facility. Remind client to push the button for the PCA device. Which of the following actions should the nurse plan to take? •Ensure the client lies flat for up to 12 hr. The Which of the following findings should the nurse identify as an indication of fluid volume excess?, A nurse is planning care of an adolescent who is postoperative following a lumbar laminectomy. Study with Quizlet and memorize flashcards containing terms like A nurse is a providers office is preparing to administer vaccinations to a toddler during a well-child visit. Monitor for lower extremity pulses every four hours for the first 24 hours. Which question or statement is the most correct for assessing the child's pain Feb 11, 2022 · A nurse is planning care for a toddler who has a serum lead level of 4 mcg/dL. c) allow the adolescent to make decisions regarding the daily routine A horse is planning care of an adolescent who is postoperative following a lumbar laminectomy. Which of the following interventions should the nurse include in the plan of care? a) Instruct the client to avoid movement of the affected leg b) Prevent hip flexion of the affected extremity c) Position the lower extremities so that they are Study with Quizlet and memorize flashcards containing terms like A nurse is a providers office is preparing to administer vaccinations to a toddler during a well-child visit. . Which of the following interventions should the nurse include in the plan of care? Limit the adolescent's visitors. Ask the client to splint the incision when coughing. Which of the following actions should the nurse plan to take first? 1. Apply supplemental oxygen. ) Ambulate an older adult client who has hypertension. May 10, 2024 · Provide extensive discharge planning to coordinate both professional and family care providers; the nurse, social worker, or nurse case manager may institute the plan for continuing care. Parents report adolescent has had fever, decreased appetite, and decreased Study with Quizlet and memorize flashcards containing terms like A nurse is assessing a school-aged child after a ventriculoperitoneal (VP) shunt replacement. Provide discharge instructions for a client who has a new skin graft. [1] It is one of the most common spinal surgeries among cohorts more than 65 years of age. A nurse is planning care for a client who is postoperative. Evaluation. A nurse planning care of an adolescent who is postoperative following a lumbar laminectomy. Study with Quizlet and memorize flashcards containing terms like A nurse is preparing to administer peritoneal dialysis to a client. Maintain strict bed rest for the first 48 hours A nurse is planning care for a 5-month-old infant who is scheduled for a lumbar puncture to rule out meningitis. Which of the following actions by the AP demonstrates an understanding of the Study with Quizlet and memorize flashcards containing terms like A nurse in a pediatric emergency department is planning care for an adolescent. Which of the following client statements requires further teaching by the nurse?, A nurse is planning care for a client who has a peptic ulcer and a new prescription for sucralfate 2 gm administered nurse is assisting with the plan of care for an older adult client who is 4 hr postoperative following an open reduction and internal fixation of a fractured femur. Aug 3, 2018 · POSTOPERATIVE CARE. Maintain the position of the cervical collar. Which of the following should the nurse take first? A. A nurse is caring for a 6-week-old infant who has a ventricular septal defect (VSD). Which of the following should the nurse understand is a clinical manifestation of pyloric stenosis?, A nurse is planning care for an adolescent Jul 28, 2022 · The nurse should initiate the use of a PCA pump for an adolescent who is postoperative following scoliosis repair. , A A nurse is contributing to the plan of care for a client following a lumbar puncture. Middle adult who is 36hr postoperative from an open laminectomy c. The Study with Quizlet and memorize flashcards containing terms like A nurse in an emergency department is caring for a client. Which of the following images indicates the position the nurse should teach the client to take Aug 13, 2023 · Posterior spinal decompression is one of the most common surgical procedures to release neural structures when nonoperative treatment has failed and is usually the procedure performed for degenerative conditions such as spinal stenosis, especially in middle-aged and elderly patients. Which of the following responses should the nurse provide? A. Which of the following interventions should the nurse include in the plan of care? Allow the adolescent to make decisions regarding his daily routine. Keep the head of the bed at a 30 degree angle. She tells the nurse that she is afraid of becoming paralyzed from the needle being placed into her spinal column. Therefore, the information provided is irrelevant to answering the question Study with Quizlet and memorize flashcards containing terms like A nurse is planning care for a client following a lumbar puncture. " B. The client received an opioid analgesic 1 hr prior. Remind the client analgesia may be prescribed for headache 2. Which of the following actions should the nurse take, A nurse is evaluating the safe use of electrical equipment by a newly hired assistive personnel (AP). ) Select the food choices for the adolescent. Which of the following actions should the nurse plan to include?, A nurse is providing teaching for a client who is postoperative following a right hip arthroplasty. An older adult who was admitted for diabetic ketoacidosis and his most recent ABGs show his pH is now 7. Provide the AP with a manual on how the transfer 1 day ago · A nurse is planning care for a client who has a deficit with cranial nerve (CN) II. Which of the following findings indicate a complication of this procedure?, A nurse is caring for a toddler who has a fever, a high-pitched cry, irritability, and vomiting. Which of the following interventions should the nurse include in the plan of care? a. Limit time spent with client. Bring a second nurse into the examination room 4. Monitor sensory perception of the lower extremities. Dec 22, 2023 · When planning care for a postoperative adolescent following lumbar laminectomy, a nurse should assess respiratory function, monitor blood glucose levels, check for pedal pulses, and administer pain medication. Which of the following pieces of information is most essential to provide?, A nurse is working with an Orthodox Jewish client who has just given birth to a stillborn infant. Which of the following should the nurse recognize as the possible cause for this seizure? A Study with Quizlet and memorize flashcards containing terms like a nurse is planning care for an infant who has spina bifida and is to undergo surgical closure of the myelomengiocele sac. Which of the following actions should the nurse include? Log roll the client every 2 hr. The nurse is planning care for an adolescent client who will be hospitalized for several weeks following a traumatic brain injury. Perform neurological checks every 8 hr. which of the following interventions should the nurse include? A. Which intervention should the nurse include in A nurse is caring for an adolescent following the application of a plaster cast for a fractured right tibia. C. A nurse receives a call from a parent of a child who has von Willebrand disease and is having a nosebleed. Which of the following interventions should the nurse plan to include to promote emotional comfort for the client? Encourage the client to verbalize their needs and concerns. 32 b. Let's focus on getting better. Based on the information in the adolescent's medical record, which of the following actions should the nurse plan to take? Select all that apply. a nurse is planning care for an adolescent who is postoperative following scoliosis repair with harrington rod instrumentation. Prepare for chest tube insertion 3 days ago · Study with Quizlet and memorize flashcards containing terms like A nurse is delegating a task to an assistive personnel (AP). Which of the following interventions should the nurse include in the plan of care? Here’s the best way to solve it. Ask the client to restate directions. During this procedure, an incision is made on the patient's lower back that varies in size depending on how many levels are being operated on in the lumbar spine. Which of the following interventions should the nurse include in the plan of care? Apr 30, 2024 · Nursing care planning and goals for patients who underwent disc surgery (laminectomy) include maintaining tissue perfusion and neurological function, promoting comfort and healing, preventing or minimizing complications, assist with the return of normal mobility. Which of the following actions should the nurse include in the plan?, Nurse is providing teaching about car seat use to the other of a six month old infant. Which of the following interventions should the nurse include in the plan of care? A. Clear objects from the clients walking area. Which of the following actions should the nurse plan to take? Keep the client resting in bed. For which common side effects should the nurse observe?, The nurse is assessing the abdomen of a preschooler admitted for lower right quadrant pain. which of the following interventions should the nurse include in the plan of care?, which of the following is an example of a neural tube defect?, A child with the spina bifida is placed on a bowel program at Study with Quizlet and memorize flashcards containing terms like A nurse is giving an end-of-shift report about a client admitted earlier that day with pneumonia. Reposition the client by log rolling every 4 hours. The classical A nurse is creating a plan of care for an adolescent who has scoliosis and is postoperative following spinal fusion. ) Limit the adolescent's visitors. D. the client should lie flat for up to 12 hr to prevent cerebrospinal fluid leakage from the puncture site, which can cause a headache. Which of the following interventions should the nurse include? Provide the client a low-sodium diet A nurse is caring for a client who is postoperative following a laminectomy with spinal fusion. Asking the adolescent what Study with Quizlet and memorize flashcards containing terms like A nurse is reinforcing discharge teaching with a client who is receiving intermittent enteral feedings through a gastrostomy tube. The parents of the child ask the nurse how the diagnosis is made. Depending on the The provided information focuses on neurointensive care procedures and illnesses, which are not directly related to a lumbar laminectomy. Allow the adolescent to make decisions regarding their daily routine. Which of the actions should the nurse plan to take? (kid has increased RR & HR; allergy to Neomycin) A. 3 days ago · Study with Quizlet and memorize flashcards containing terms like A nurse is administering 1 L of 0. Patients in PACU are evaluated to determine the client’s discharge from the unit. A nurse is planning care of an adolescent who is postoperative following a lumbar laminectomy. b. which of the following actions should the nurse take? - initiate NPO status for the adolescent - place the adolescent in a supine position - place a moist, warm pack on the adolescents lower back - apply a eutectic mixture of local anesthetics to the adolescent's 3 days ago · Study with Quizlet and memorize flashcards containing terms like A nurse is educating new parents about risk factors for sudden infant death syndrome (SIDS). "Why are Study with Quizlet and memorize flashcards containing terms like A nurse is planning care for a client who is 1 day postoperative following spinal fusion. is 2 days postoperative following the insertion of a Study with Quizlet and memorize flashcards containing terms like A nurse is caring for an adolescent following a lumbar puncture. ) 3 days ago · A nurse is planning care of an adolescent who is postoperative following a lumbar laminectomy. • Maintain the client in a position that minimizes stress on the surgical wound. Which of the following actions should the nurse take? A. Perform an admission Nursing; Nursing questions and answers; A nurse is creating a plan of care for an adolescent who has scoliosis and is postoperative following a spinal fusion. Study with Quizlet and memorize flashcards containing terms like The nurse is caring for a client receiving opioid medication for the treatment of postoperative pain. Study with Quizlet and memorize flashcards containing terms like A nurse is creating a plan of care for an infant who has an epidural hematoma with a skull fracture. Plan: Admit for IV fluids Vital signs 1200: Temp 38. Which of the following 3 statements by the client indicates an understanding of the teaching?, Click to highlight the assessment findings below that the nurse Study with Quizlet and memorize flashcards containing terms like A nurse is teaching about neural tube defect to a group of females who are pregnant which of the following disease processes should the nurse include as an example of a neural tube defect? A) Cerebral palsy B) Hydrocephalus C) Muscular dystrophy D) Spina bifida. Which of the following responses should the nurse make?, A nurse is creating a plan of care for a child who has leukopenia secondary to chemotherapy. ) Allow the adolescent to make decisions regarding their daily routine. which of the following statements by the mothers indicates an Study with Quizlet and memorize flashcards containing terms like A nurse is planning to assign tasks for a group of clients. Following that stage, the patient enters the long postoperative stage, where nurses aim to continue stabilising their physiology, prevent complications and rehabilitation. Study with Quizlet and memorize flashcards containing terms like A nurse is administering 1 L of 0. Which of the following actions should the nurse take first? 1. Withhold the measles, mumps, and rubella (MMR) vaccine. The A lumbar laminectomy is a procedure to relieve pressure on the spinal cord and spinal nerves by removing a posterior portion of vertebral bone in the lumbar spine called the lamina. Which of the following statements should indicate to the nurse the need for additional teaching?, A nurse is providing health promotion teaching to an adolescent. "Let's not focus on the negative. Which of the following information should the nurse include in the teaching Study with Quizlet and memorize flashcards containing terms like 1. Which of the following actions should the nurse take? arly mobilization of postoperative lumbar laminectomy patients is an important aspect of preventing postoperative complications and improving clinical outcomes. Study with Quizlet and memorize flashcards containing terms like A nurse is caring for a child who has a possible intussusception. Which of the following interventions is appropriate?, A A nurse is caring for a client immediately following lumbar puncture. During the first few hours, the patient is kept at the PACU, where they receive intensive nursing care. Which of the following actions should the nurse plan to take? A nurse is caring for a school age child who is in Bucks traction following a leg fracture 24 hrs hours. use a long rolling teaching technique to reposition the adolescent. Exhibit 1 Exhibit 2 Exhibit 3 Exhibit 4 Nurses' Notes 0700: Adolescent admitted to ED with parents concerned about left leg injury that appears to be getting worse. 9% sodium chloride to a client who is postoperative and has fluid volume deficit. An adolescent client who was admitted 24hr ago due to a spontaneous pneumothorax d. The client tell the nurse " I am in so much pain". Which of the following actions should the nurse take?, A nurse is reinforcing teaching with a client who has a new 3 days ago · Study with Quizlet and memorize flashcards containing terms like A nurse is caring for a client who is 12 hr postoperative following a total hip arthroplasty. Withhold the diphtheria, tetanus, and pertussis (DTaP Study with Quizlet and memorize flashcards containing terms like a nurse is administering 1 L of 0. Making all ADL decisions for the adolescent and family 2. The PCA pump allows the client to control the delivery of pain medications. Withhold the diphtheria, tetanus, and pertussis (DTaP 3 days ago · Study with Quizlet and memorize flashcards containing terms like A nurse is caring for an older adult client who is 5 day postoperative following a total hip arthroplasty and is receiving meperidine for pain. , A nurse is planning care for an adolescent who is postoperative a nurse is planning care of an adolescent who is postoperative following a lumbar laminestomy. Which of the following interventions should the nurse include in the plan of care? a) limit the adolescent's visitors. c. WHich of the following actions should the nurse take?, A nurse is assessing a 10-day-old client. Position a small pillow under the neck. b) select the adolescent's food choices. which of the following actions should the nurse include in the plan of care 32 of 59 Term A nurse is planning care for a client who is postoperative following a total hip arthroplasty. , A nurse in a long -term care facility is caring for a client who has Alzhemier's disease and suddenly becomes aggressive. 1 F), HR 126 3 days ago · Study with Quizlet and memorize flashcards containing terms like A client is scheduled for a lumbar puncture to rule out bacterial meningitis. Place the adolescent in supine position. Which of the following changes should the nurse identify as an indication that the treatment was successful?, A nurse is caring for a client who is scheduled to be transferred to a long-term care facility. A nurse is planning care for a client following a lumbar puncture. Study with Quizlet and memorize flashcards containing terms like A nurse is assisting with the care of an adolescent in the emergency department (ED). Assist the client to sit upright in a chair for 4 hr at a time. Which of the following actions should the nurse take?, A nurse 3 days ago · Which of the following clients should the nurse recommend for discharge? a. The AP is to transfer a client who has a below-the-knee amputation from a bed to a wheelchair. The nurse should assess the apical pulse for 1 full min and assess the rhythm strip for a prolonged P-R interval because the infant is most likely experiencing digoxin toxicity. Which of the 3. Which of the follwoing interventions should the nurse include in the plan of care? A nurse is planning care of an adolescent who is postoperative following a lumbar laminectomy.