The nurse is caring for a client who had a lumbar puncture 1 hour ago. Which does the nurse include in client teaching to prevent client headaches after a lumbar puncture?
1. Use one soft pillow.
2. Reduce total fluid intake.
3. Lie flat for 4 to 12 hours.
4. Maintain pressure on site.
3
3. The nurse prepares the client to lie flat for 4 to 12 hours after a lumbar puncture to maintain steady pressure in the subarachnoid space, potentially helping to decrease the risk of postdural puncture headaches (PDPH).
1. The nurse instructs the client that pillows can contribute to PDPH, so the nurse re-commends that the client lie without a pillow.
2. Increased fluid intake is unsupported in the literature as an effective strategy to prevent PDPH; however, the nurse avoids instructing the client to restrict fluid intake and maintains fluid and electrolyte balance.
4. Unless bleeding or leaking occurs, the nurse helps to prevent PDPH by teaching the client to comply with activity and positioning restrictions.
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a. 15 to 20 b. 20 to 40 c. 25 to 35 d. 30 to 45
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A) Genetic problems B) Postdate delivery C) Low birth weight D) Lower mortality rates