A nurse assesses a patient after spinal surgery. Which finding requires the most urgent action?
Correct answer: B. Numbness and new weakness in both legs
- A. Incisional pain rated 5 out of 10
- B. Numbness and new weakness in both legs
- C. Mild nausea after receiving an opioid
- D. Small amount of clear drainage on the dressing
Explanation
New bilateral weakness and numbness may indicate spinal cord or nerve compression and requires immediate assessment and reporting. Pain and mild opioid-related nausea are common postoperative findings. Clear drainage also requires assessment, but new neurological loss takes priority because it threatens function.
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About Orthopaedic Nursing
Covers fractures, dislocations, arthritis, osteoporosis, joint replacement, spinal disorders and complications of immobility. It includes neurovascular assessment, traction and cast care, mobility assistance, pain control, prevention of pressure injuries and deep vein thrombosis, and the difference between compartment syndrome and ordinary postoperative swelling.
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