The most serious complication of lumbar puncture in a critically ill patient is
a. bacterial meningitis.
b. dural tear.
c. brainstem herniation.
d. spinal cord trauma.
C
Two life-threatening risks associated with lumbar puncture include possible brainstem herniation, if intracranial pressure is elevated, and respiratory arrest associated with neurologic deterioration.
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Grouping people based on biological similarities is classifying them by
a. race c. culture b. ethnicity d. nationality
The nurse is caring for a patient who requires a moist-to-dry dressing. Which action by the nurse is appropriate during the procedure?
a. Applies a dry absorbent outer dressing b. Packs flat gauze into the wound bed c. Soaks the wound packing with antiseptic d. Moistens the old dressing before removal
Touching is often culture related. Nurses must touch clients to perform treatments; however, they need to remain aware that taboos are also involved. The nurse touches a child on the head to examine the head for a possible lice infestation
The mother is very upset by the nursing action. Which culture believes that touching a child on the head is a sign of disrespect and is believed to cause illness? A) Europeans B) Asian C) Hispanic D) Mediterranean
A nurse is caring for a client with pancreatic disease. The client is receiving total parenteral nutrition (TPN) to help maintain adequate levels of carbohydrates, proteins, fats, vitamins, minerals, water, and electrolytes
Which of the following measures should the nurse follow when providing TPN? A) Perform insertion of a central line under aseptic conditions. B) Check the client's vital signs for evidence of developing infection. C) Avoid folding the tape over when securing the catheter. D) Measure the blood glucose level at the end of the day.