The nurse provides patient teaching before a lumbar puncture. Which information does the nurse include about patient activity during the procedure?
a. "We'll want to know if you are hurting.".
b. "I'll place you in a semi-Fowler's posi-tion.".
c. "It is essential to remain still during the procedure.".
d. "We'll restrict your fluids after the test is done.".
C
The nurse instructs the patient to maintain the lateral position and lie without moving during the procedure, especially while the provider inserts the needle, because the goal is to put the needle in the subarachnoid space. Unexpected patient movement potentially leads to needle misplace-ment, patient injury, and increased risk of postprocedural headache and infection from leaking cerebrospinal fluid. The local anesthetic injection stings, and insertion of the needle potentially elicits a sharp, stabbing, or shooting pain that causes patients to flinch. The nurse assists the pa-tient to maintain the position and offers reassurance and information. The nurse instructs the pa-tient to indicate verbally that pain is present during the procedure but not to move. Unless fluids are contraindicated, providers typically prescribe flat positioning and normal fluid intake fol-lowing the procedure.
You might also like to view...
A client has been admitted to the health care facility for observation and will return home the same evening. The client has a gold ring, watch, reading glasses, and other personal belongings
What care should the nurse take with regard to these objects? A) Ask the client's relatives to take the belongings home. B) Keep the client's belongings secured in a locker. C) Allow the client to wear them unless moving out of the room. D) Hand over the belongings to the admitting department.
Which of the following would the nurse include in the client teaching about HMG-CoA reductase inhibitors (statins)? Select all that apply
A) Photosensitivity can occur. B) The drug should be continued even if the client feels better. C) Muscle pain and weakness are normal. D) Juices other than grapefruit juice are okay to use. E) Statins should be administered in the evening.
Martin, the unit manager, receives complaints from community agencies that patients who have been discharged from his unit seem to lack understanding about their disorder and immediate strategies for managing elements of their care
Martin checks the patient teaching sheets and notes that the sheets are initialed by staff. He calls the agencies and indicates that teaching has been done. Martin's follow-up to complaints from the community is: a. Appropriate and indicates that he has as-sumed accountability for the actions of his staff. b. Indicative that he does not clearly under-stand the concept of accountability. c. Indicative of strong support for his staff and their autonomy. d. Important in clarifying the difference be-tween his accountability and that of the community in patient care.
A licensed practical nurse has recently graduated from nursing school, passed the NCLEX-PN and secured employment at a long-term care facility
At the facility, the nurse will be providing care along with several unlicensed assistive personnel (UAPs). The nurse should be aware that UAPs are A) graduates of an 8– 10month training program in a college or technical school. B) accountable to their own professional association for the care they provide. C) able to do the same tasks as a licensed practical/vocational nurse. D) able to provide certain aspects of basic patient care under the direction of a nurse.