Page 2121 - Saunders Comprehensive Review For NCLEX-RN

result from decreased movement,
opioid administration, or spinal cord
compression.
d. Prevent constipation by encouraging a
high-fiber diet, increased fluid intake,
and stool softeners as prescribed.
e. Administer opioids and sedatives as
prescribed to relieve pain and anxiety.
f. Assist and instruct the client to use a
prescribed back brace or corset and to
wear cotton underwear to prevent skin
irritation.
3. Postoperative lumbar disk positioning
a. In the immediate postoperative period,
the client may be expected to lie supine
or have other activity restrictions,
depending on the specific surgical
intervention.
b. Instruct the client to avoid spinal
flexion or twisting and that the spine
should be kept aligned.
c. Instruct the client to minimize sitting,
which may place a strain on the
surgical site.
d. When the client is lying supine, place a
pillow under the neck and slightly flex
the knees.
e. Avoid extreme hip flexion when lying
on the side.

Following disk surgery, instruct the client in

correct logrolling techniques for turning and
repositioning and for getting out of bed.
XIII. Amputation of a Lower Extremity
A. Description
1. Amputation (Fig. 60-5) is the surgical removal of a
limb or part of the limb.

2. Complications include hemorrhage, infection,

phantom limb sensation and pain, neuroma, and
flexion contractures.

B. Postoperative interventions

1. Monitor for signs of complications.
2. Mark bleeding and drainage on the dressing if it
occurs.

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