The patient in the emergency department has just had a diagnostic lumbar puncture. To reduce the incidence of a post-lumbar puncture headache, the nurse suggests what position for 3 hours after the procedure?
A) Prone
B) Supine, head of bed flat
C) Flat, in a side-lying position
D) Side-lying with the head of bed elevated 30 degrees
Ans: A
Feedback: The lumbar puncture headache may be avoided if a small-gauge needle is used and if the patient remains prone after the procedure. When a large volume of fluid is removed, the patient is positioned prone for 2 hours, then flat in a side-lying position for 2 to 3 hours, and then supine and prone for 6 or more hours.
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The nurse is teaching the family of an elderly client who is being discharged home to the family about risks the client has for infection that are different from risks for infection for the rest of the family
The nurse should include which information during teaching? 1. The older client might not have the usual symptoms of infection. 2. The older client is better nourished because she has more free time to eat healthy foods. 3. The older client is not at high risk for dehydration. 4. The older client has increased bladder tone.
The registered nurse is taking shift report and finds that one of her assigned patients is blind. The nurse recalls that the best way to approach a patient who is blind is to what?
A) Approach the guide dog before introducing yourself to the patient. B) Introduce yourself in a firm, loud voice at the doorway of the room. C) Touch the patient's arm and then introduce yourself. D) State your name and role after entering the patient's room.
A patient has come to the office for her first eye examination. The patient is diagnosed as having a visual acuity of 20/40. The patient asks the nurse what these numbers mean. What is a correct response by the nurse?
A) "A person whose vision is 20/40 can see an object from 40 feet away that a person with 20/20 vision can see from 20 feet away." B) "A person whose vision is 20/40 can see an object from 20 feet away that a person with 20/20 vision can see from 40 feet away." C) "A person whose vision is 20/40 can see an object from 40 inches away that a person with 20/20 vision can see from 20 inches away." D) "A person whose vision is 20/40 can see an object from 20 inches away that a person with 20/20 vision can see from 40 inches away."
Decisions based on EBP include which of the following?
A) Custom B) Authority C) Clinical expertise D) Ritual