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Spinal Surgeries (19 Questions)
1. Mr. Paul Gervais, 64 years old, is postoperative day 0 following a lumbar laminectomy (L3–L4).
His medical orders include:
*Acetaminophen 1,000 mg PO q6h scheduled
*Morphine 2 mg IV q3h PRN for severe pain (7–10/10)
*Log-roll technique for repositioning
*Head of bed flat for 6 hours
*Neuro checks q2h
The nurse enters the room and finds Mr. Gervais attempting to raise the head of the bed to eat. He reports pain 4/10 and denies dizziness.
Question:
What is the most appropriate nursing action?
*
Allow the head of bed to be elevated for comfort
Assist him to sit upright in bed
Maintain the head of bed flat
Place pillows under the knees
2. Mme. Isabelle Tremblay, 58 years old, is postoperative day 1 following an anterior cervical discectomy and fusion (ACDF).
Medical orders include:
*Hydromorphone 1 mg PO q4h PRN pain
*Soft cervical collar when out of bed
*Neuro checks q4h
The patient asks if she can lie flat to sleep.
Question:
What is the correct nursing instruction?
*
Lie flat without a pillow
Elevate the head of bed 30°
Sleep prone
Remove the cervical collar while in bed
3. Mr. Daniel Roy, 67 years old, is postoperative day 1 following a lumbar spinal fusion (L4–S1).
Orders include:
*Oxycodone 5 mg PO q4h PRN pain
*No bending, lifting, or twisting
The nurse observes the patient attempting to twist his torso to reach the bedside table.
Question:
What is the nurse’s priority action?
*
Allow movement if pain is minimal
Administer Oxycodone 5 mg PO
Assist with log-roll repositioning
Apply a lumbar brace
4. Mme. Sophie Lambert, 62 years old, is postoperative day 2 following a lumbar discectomy. Medical orders include: Activity as tolerated
The nurse finds her lying on her stomach while resting.
Question:
What should the nurse do?
*
Allow the position if comfortable
Assist her to a side-lying position
Place pillows under the abdomen
Apply heat to the back
5. Mr. Jean-Claude Martin, 70 years old, is postoperative day 1 following a lumbar laminectomy.
Orders include:
*Bed rest
The nurse notes clear drainage from the incision and the patient reports a headache that worsens when sitting upright.
Question:
What is the priority nursing action?
*
Elevate the head of bed
Place the patient in Trendelenburg position
Maintain bed flat
Encourage oral fluids
6. Mme. Louise Pelletier, 65 years old, is postoperative day 2 following a lumbar laminectomy. Orders include: May sit in chair with assistance
The nurse prepares to assist the patient from bed to chair.
Question:
Which action is most appropriate?
*
Allow the patient to twist to sit up
Use log-roll to side-lying before sitting
Lift the patient directly to the chair
Sit the patient straight up from supine
7. Mr. André Fournier, 69 years old, is postoperative day 1 following posterior cervical decompression.
Orders include:
*Head of bed elevated 30–45°
*Cervical collar at all times
The patient requests to lie flat because he feels tired.
Question:
What is the best response?
*
Allow him to lie flat briefly
Maintain head elevation to 30°
Remove the cervical collar
Place him prone
8. Mr. Luc Morel, 60 years old, is postoperative day 1 following a lumbar discectomy.
Orders include:
*Hydromorphone 1 mg IV q3h PRN pain
*Side-lying or supine positioning
He reports increased pain when lying flat.
Question:
What is the most appropriate nursing intervention?
*
Encourage prone position
Sit the patient upright
Apply heat to incision
Assist to side-lying with pillow support
9. Mme. Karine Dumas, 55 years old, is preparing for discharge after a lumbar discectomy.
Orders include:
*Avoid bending, lifting, twisting
*Side-lying or supine positioning for rest
She asks how she should position herself when resting at home.
Question:
Which instruction should the nurse emphasize?
*
Sleep prone to strengthen the back
Sleep sitting upright
Sleep without pillows
Sleep side-lying with knees slightly bent
10. Mr. Pierre Leduc, 63 years old, is postoperative day 0 following a lumbar laminectomy (L4–L5).
Medical orders include:
*Acetaminophen 1,000 mg PO q6h scheduled
*Hydromorphone 0.5 mg IV q3h PRN pain (7–10/10)
*Position: supine with log-roll for turning
*Activity: bed rest until tomorrow
*Vital signs q2h
Two hours after surgery, he reports pain rated 8/10 when attempting to turn in bed.
Question:
What is the most appropriate nursing action?
*
Allow the patient to twist gently for comfort
Place the patient in a high-Fowler position
Apply heat to the incision
Administer hydromorphone 0.5 mg IV
11. Mme. Caroline Fortier, 55 years old, is postoperative day 1 following a lumbar discectomy at L5–S1.
Medical orders include:
*Bed rest, flat for 24 hours
*Acetaminophen 650 mg PO q6h PRN headache
*Neuro checks q4h
She requests to sit upright for breakfast and reports a mild headache when raising her head.
Question:
What is the priority nursing action?
*
Allow the patient to sit upright briefly
Elevate the head of bed to 45°
Reinforce flat positioning and notify the physician if headache worsens
Encourage ambulation
12. Mr. Daniel Gagnon, 60 years old, is postoperative day 1 following a lumbar spinal fusion.
Orders include:
*Oxycodone 5 mg PO q4h PRN pain
*Log-roll for repositioning
The nurse observes the patient lying on his side.
Question:
What is the nurse’s initial intervention?
*
Leave the position unchanged
Assist the patient to supine position
Place a pillow between the knees
Administer analgesia
13. Mme. Isabelle Tremblay, 68 years old, is postoperative day 1 following a cervical laminectomy (C5–C6).
Medical orders include:
*Head of bed elevated 30°
*Soft cervical collar while awake
*Acetaminophen 1,000 mg PO q6h scheduled
She asks if she can lie flat because her neck feels stiff.
Question:
What is the most appropriate response?
*
Allow flat positioning for comfort
Elevate the head of bed to 60°
Maintain head of bed at 30°
Remove the cervical collar
14. Mr. Luc Pelletier, 57 years old, is postoperative day 1 following a lumbar discectomy.
Orders include:
*Activity: out of bed with assistance
*Log-roll to sitting position
*Hydromorphone 1 mg PO q4h PRN pain
The nurse prepares to assist him out of bed for the first time.
Question:
What is the correct method to position the patient before standing?
*
Sit up quickly using abdominal muscles
Roll onto the side, then push up with arms
Twist at the waist and swing legs over
Stand directly from supine
15. Mme. Hélène Moreau, 72 years old, is postoperative day 2 following a posterior lumbar spinal fusion.
Orders include:
*Avoid prone position
*Position: supine or side-lying
*Neuro checks q4h
She asks if she can lie on her stomach to relieve pressure.
Question:
What is the most appropriate nursing response?
*
Allow prone positioning briefly
Encourage prone positioning with pillows
Reinforce supine or side-lying positioning
Sit the patient upright
16. Mr. André Côté, 74 years old, is postoperative day 3 following a lumbar laminectomy.
Orders include:
*Pressure-relieving mattress
The nurse plans his repositioning schedule to prevent pressure injuries.
Question:
What is the most appropriate repositioning strategy?
*
Frequent twisting to change position
Log-rolling every 2 hours
Sitting upright for long periods
Prone positioning every 2 hours
17. Mme. Sylvie Paquin, 59 years old, is postoperative day 2 following a lumbar discectomy. She reports worsening headache when sitting up and clear drainage on the dressing.
Question:
What position should the nurse maintain?
*
High-Fowler
Side-lying with head elevated
Flat, supine position
Sitting upright
18. Mr. Robert Villeneuve, 65 years old, is postoperative day 1 following a lumbar spinal fusion.
Orders include:
*Hydromorphone 0.5 mg IV q3h PRN
*Position: neutral spine at all times
He reports pain rated 9/10 while lying in bed.
Question:
What is the most appropriate intervention?
*
Flex the knees sharply for comfort
Administer hydromorphone and maintain neutral alignment
Sit the patient upright
Apply heat
19. Mme. Nathalie Boucher, 54 years old, is preparing for discharge after a lumbar discectomy.
Orders include:
*Avoid bending, lifting, twisting
*Use log-roll technique at home
She asks which sleeping position is safest.
Question:
Which instruction should the nurse reinforce?
*
Sleep prone
Sleep supine or side-lying
Sleep sitting upright
Sleep on a soft couch