The nurse is providing post-procedure care for a patient recovering from a lumbar puncture. Which order should the nurse anticipate for this patient?
a. Keep the patient NPO for 4 hours.
b. Have the patient lie flat for 6 hours.
c. Monitor the patient's pedal pulses every 4 hours.
d. Keep the head of the bed elevated 30 degrees for 8 hours.
ANS: B
After the lumbar puncture is completed, instruct the patient to remain on bedrest with the head of the bed flat for 6 to 8 hours, as ordered by the physician, and to increase oral intake of fluids. Keeping the head flat decreases the likelihood of leakage of cerebrospinal fluid from the puncture site, which can result in a severe headache. C. Pedal pulses are important for angiograms. A. The patient does not need to be kept at nothing by mouth status for 4 hours. D. Elevating the head of the bed could precipitate a spinal headache.
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