As part of nursing care for a client post spinal fusion surgery, which intervention is not appropriate?

• A. Encouraging independent mobility
• B. Instructing on using a call bell for needs
• C. Encouraging deep breathing exercises
• D. Allowing client to sit upright in bed without support

Answer: (D)

After spinal fusion surgery, one of the primary goals of nursing care is to ensure the stability of the spine during the healing process. Allowing the client to sit upright in bed without support compromises this safety and stability. Following a spinal fusion, patients typically need to maintain a specific body alignment and often require assistance or support to prevent any undue strain on the surgical site. Sitting unsupported could lead to excess movement or pressure on the spine, increasing the risk of complications, such as dislocation or damage to the surgical area.

In contrast, encouraging independent mobility, instructing the client on using a call bell for their needs, and promoting deep breathing exercises are all vital aspects of postoperative care. They help facilitate recovery, enhance lung function, and ensure that the patient can safely mobilize while adhering to safety guidelines.