Question

A child who has undergone spinal fusion for scoliosis complains of abdominal discomfort and begins to have episodes of vomiting. On further assessment, the nurse notes abdominal distention. On the basis of these findings, the nurse should take which action?

A. Administer an antiemetic and monitor for improvement
B. Encourage the child to ambulate to promote bowel motility
C. Notify the healthcare provider immediately
D. Document the findings and continue routine care

Answer 1

The child's symptoms after spinal fusion surgery indicate a possible serious complication, and the nurse should immediately notify the healthcare provider for further assessment and prompt management.

Step-by-step explanation:

When a child complains of abdominal discomfort and begins to have episodes of vomiting along with noted abdominal distension after spinal fusion surgery, these can be signs of a potential serious complication such as an ileus, infection, or bowel obstruction. The nurse's action in this scenario should be to notify the healthcare provider immediately (C). Prompt assessment and diagnosis are crucial to manage any potential complications postoperatively. It is not appropriate to administer antiemetics, encourage ambulation, or continue routine care without further instructions from a healthcare provider.