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Multiple Choice

Which action would be most appropriate to prevent respiratory complications in a patient who is 4 days post spinal fusion?

The key idea is preventing respiratory complications after spinal fusion by keeping the lungs well-expanded and secretions moving. Frequent turning helps prevent shallow breathing and promotes better ventilation of all lung regions, reducing the risk of atelectasis and pneumonia. Regular lung assessment detects early changes in breath sounds, rate, depth, or oxygenation, allowing timely intervention such as encouraging deep breaths, coughing, or incentive spirometry as tolerated and guided by the care team. Pain control and careful positioning support these efforts while protecting the spinal fusion site. Discharging immediately is unsafe, as is staying strictly bedridden without movement—the lack of movement and shallow breathing raise the risk of respiratory problems. Focusing only on wound dressing ignores the critical need to maintain lung function postoperatively.

The key idea is preventing respiratory complications after spinal fusion by keeping the lungs well-expanded and secretions moving. Frequent turning helps prevent shallow breathing and promotes better ventilation of all lung regions, reducing the risk of atelectasis and pneumonia. Regular lung assessment detects early changes in breath sounds, rate, depth, or oxygenation, allowing timely intervention such as encouraging deep breaths, coughing, or incentive spirometry as tolerated and guided by the care team. Pain control and careful positioning support these efforts while protecting the spinal fusion site.

Discharging immediately is unsafe, as is staying strictly bedridden without movement—the lack of movement and shallow breathing raise the risk of respiratory problems. Focusing only on wound dressing ignores the critical need to maintain lung function postoperatively.