Page 2120 - Saunders Comprehensive Review For NCLEX-RN

technique to use when lifting objects
such as bending the knees,
maintaining a straight back, and
avoiding lifting objects above the
elbow level.
e. Instruct in a weight control program as
prescribed.
f. Instruct the client in an exercise
program to strengthen back and
abdominal muscles as prescribed.
D. Disk surgery is used when spinal cord compression is suspected
or symptoms do not respond to conservative treatment; minimally
invasive techniques may be prescribed (Box 60-4).

1. Postoperative interventions: Cervical disk

a. Monitor for respiratory difficulty from
inflammation or hematoma.
b. Encourage coughing, deep breathing,
and early ambulation as prescribed.
c. Monitor for hoarseness and inability to
cough effectively, because this may
indicate laryngeal nerve damage.
d. Use throat sprays or lozenges for sore
throat, avoiding anesthetic lozenges
that may numb the throat and increase
choking risks.
e. Assess the surgical dressing; monitor
the surgical wound for infection,
swelling, redness, drainage, or pain;
and manage surgical drains
accordingly.
f. Provide a soft diet if the client
complains of dysphagia.
g. Monitor for sudden return of radicular
pain, which may indicate cervical
spine instability.

2. Postoperative interventions: Lumbar disk

a. Assess the surgical dressing,
monitoring for wound drainage and
bleeding and monitoring surgical
drains accordingly.
b. Monitor lower extremities for sensation,
movement, color, temperature, and
paresthesia.
c. Monitor for urinary retention, paralytic
ileus, and constipation, which can

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