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Multiple Choice

What nursing intervention is appropriate in the immediate postoperative period for a 13-year-old after spinal fusion?

In the immediate postoperative period following spinal fusion, ensuring proper pain management is crucial for promoting recovery. Patient-controlled analgesia (PCA) allows the patient to administer their own pain medication within prescribed limits, which can provide a sense of control over their pain management and enhance comfort. This self-administration is particularly beneficial in allowing patients to take medication as needed, thus addressing their pain more effectively. By using PCA, the 13-year-old patient can better manage discomfort, which aids in reducing anxiety and promotes participation in postoperative rehabilitation activities. Effective pain control is vital at this stage, as it can encourage the patient to engage with care plans, including mobilization and rehabilitation. In contrast, while maintaining bedrest with the head of the bed elevated is important for comfort and preventing complications, it does not address the immediate need for effective pain management. Passive exercises and positioning would also have roles in care, but without adequate pain control, the patient may be unable to participate fully in these essential interventions. Hence, encouraging the use of patient-controlled analgesia stands out as the most appropriate nursing intervention in this context.

In the immediate postoperative period following spinal fusion, ensuring proper pain management is crucial for promoting recovery. Patient-controlled analgesia (PCA) allows the patient to administer their own pain medication within prescribed limits, which can provide a sense of control over their pain management and enhance comfort. This self-administration is particularly beneficial in allowing patients to take medication as needed, thus addressing their pain more effectively.

By using PCA, the 13-year-old patient can better manage discomfort, which aids in reducing anxiety and promotes participation in postoperative rehabilitation activities. Effective pain control is vital at this stage, as it can encourage the patient to engage with care plans, including mobilization and rehabilitation.

In contrast, while maintaining bedrest with the head of the bed elevated is important for comfort and preventing complications, it does not address the immediate need for effective pain management. Passive exercises and positioning would also have roles in care, but without adequate pain control, the patient may be unable to participate fully in these essential interventions. Hence, encouraging the use of patient-controlled analgesia stands out as the most appropriate nursing intervention in this context.