Which Assessment Finding Would Require an Immediate Nursing Action When

question 16

Multiple Choice

Which assessment finding would require an immediate nursing action when providing care to an adolescent who is postoperative for spinal fusion surgery?

• A) Sleeps when not bothered but arouses easily with stimuli
• B) Impaired color, sensitivity, and movement to lower extremities
• C) Nausea relieved by antiemetics
• D) Pain relieved by analgesics

---

Definitions:

Medial Lobe

A segment of an organ or gland separated from the rest by boundaries but specifically, it often refers to parts of the brain or lungs, though not a universally used term without specifying the organ.

Liver

A vital organ that performs a wide range of functions, including detoxification, protein synthesis, and the production of biochemicals necessary for digestion.

Lingual Frenulum

A small fold of mucous membrane extending from the floor of the mouth to the midline of the underside of the tongue.

Papillae

Small projections on the tongue's surface involved in taste sensation, texture sensation, and aiding in the mechanical process of eating.