Final answer:
The number one post-operative answer related to laminectomy or spinal surgery on the NCLEX revolves around monitoring for complications, especially infection, bleeding, and changes in neurological status, as part of the patient's recovery and care process.
Step-by-step explanation:
The number one post-operative answer for questions related to laminectomy or spinal surgery on the NCLEX often pertains to monitoring for complications such as infection, bleeding, or changes in neurological status. In the context of the question, an important aspect of patient recovery and care is the post-operative assessment, which includes the surgeon, nurse, and anesthesia professional reviewing aloud the key concerns for the patient's recovery and care. This interdisciplinary review is crucial to ensure that all members of the healthcare team are aware of the specific nuances of the patient's post-operative needs.
For example, after a laminectomy, it is critically important to monitor the patient for signs of infection, which may manifest as redness, swelling, or drainage at the surgical site, as well as systemic symptoms like fever. Likewise, close observation for any bleeding or hematoma formation is essential. Additionally, one of the most important post-operative considerations is assessing changes in the patient's neurological status, such as motor and sensory function, which could indicate complications like spinal cord compression or nerve root injury.
Each of these areas—monitoring for infection, bleeding, and neurological changes—are pivotal in the post-operative management of a patient who has undergone a laminectomy or similar spine surgery.