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evital - NrC Realth
RN Alterations in Mobility Assessment
Question:
4 of 30
Time Elapsed: 02:10:20
A nurse is caring for a client who is postoperative following a laminectomy.
Exhibit
1 Exhibit.
2 Exhibit
3 Exhibit
4 History and Physical
One year ago: 39 - year - old client seen in office for low back pain. Conservative treatment recommended.
One month ago:
Client reports conservative treatment no longer managing back pain. MRI ordered.
One week ago:
Plan for laminectomy of
L2-L4.
Today: 40-year-old client who has chronic low back pain admitted for laminectomy.
A nurse is caring for a client who is postoperative following a laminectomy.
Click to highlight the findings that require immediate follow-up.
To deselect a finding, click on the finding again.
Head of bed elevated at
60°.
Bilateral dorsalis pedal pulses 1+.
Lumbar dressing wet with clear drainage. Hypoactive bowel sounds in all four quadrants. Bladder distended. Client reports uable to initiate urination.

Question

S SigmaCare Login
evital - ﻿NrC Realth
RN Alterations in Mobility Assessment
Question: 
4  ﻿of  30 
Time Elapsed: 02:10:20
A nurse is caring for a client who is postoperative following a laminectomy.
Exhibit 
1 Exhibit. 
2 Exhibit 
3 Exhibit 
4 History and Physical
One year ago: 39 - year - old client seen in office for low back pain. Conservative treatment recommended.
One month ago:
Client reports conservative treatment no longer managing back pain. MRI ordered.
One week ago:
Plan for laminectomy of 
L2-L4.
Today: 40-year-old client who has chronic low back pain admitted for laminectomy.
A nurse is caring for a client who is postoperative following a laminectomy.
Click to highlight the findings that require immediate follow-up.
 ﻿To deselect a finding, click on the finding again.
Head of bed elevated at 
60°.
 ﻿Bilateral dorsalis pedal pulses 1+.
 ﻿Lumbar dressing wet with clear drainage. Hypoactive bowel sounds in all four quadrants. Bladder distended. Client reports uable to initiate urination.

StudyXY · Accepted Answer

: Identify the issues that require immediate follow-up. : Address the wet lumbar dressing. : Address the urinary retention issue. The wet lumbar dressing and the client's inability to initiate urination are the primary issues that require immediate follow-up. It is essential to notify the healthcare team about the wet dressing and monitor the client's vital signs. Addressing the urinary retention issue may involve assessing the client for other symptoms, encouraging voiding, and potentially performing a bladder scan or catheterization.

Q
QuestionNursing

Answer

Full Solution Locked

Step 1
: Identify the issues that require immediate follow-up.

Step 2
: Address the wet lumbar dressing.

Final Answer

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