Question

The nurse is caring for a 13 year-old following spinal fusion for scoliosis. Which of the following interventions is appropriate in the immediate postoperative period?

A) Raise the head of the bed at least 30 degrees
B) Encourage ambulation within 24 hours
C) Maintain in a flat position, logrolling as needed
D) Encourage leg contraction and relaxation after 48 hours

Answer 1

The immediate postoperative care for a 13-year-old following spinal fusion for scoliosis includes maintaining the patient in a flat position and utilizing logrolling to move them as necessary. Option c.

Step-by-step explanation:

The appropriate intervention in the immediate postoperative period for a 13-year-old who has undergone spinal fusion for scoliosis is to maintain the patient in a flat position, logrolling as needed. This position helps to stabilize the spine after surgery and prevents additional strain or injury to the surgical site. It is also important to mention that while maintaining the flat position, the healthcare team will assist the patient with logrolling, which is a technique used to move the patient while keeping the spine in proper alignment.

The head of the bed should not be raised significantly and ambulation is often encouraged, but the timing may vary depending on the surgeon's protocol and the patient's condition. While leg contractions and relaxation are beneficial for circulation, the initiation of such activities will also depend on the patient's recovery status.