The nurse would assess a 5-year-old patient who had a lumbar puncture completed 30 minutes ago for: (Select all that apply.)
a. Drainage at the puncture site
b. Evidence of headache
c. Elevation of temperature
d. Allergic skin reaction
e. Gastric distress
A, B, C
Following a lumbar puncture, the patient should be assessed for drainage at the puncture site, evidence of post-puncture headache, or elevation of temperature. Allergic skin reaction and gastric distress are not associated with post-lumbar puncture concerns.
You might also like to view...
The normal pacemaker of the heart is the
a. S-A node at 120 bpm. c. S-A node at 70 bpm. b. A-V node at 60 bpm. d. A-V node at 40 bpm.
A patient develops systemic inflammatory response syndrome (SIRS) after acute pancreatitis. The patient's wife says, "I thought he didn't have any infection." How should the nurse respond?
1. "He probably had an infection that we did not recognize." 2. "He developed SIRS after getting multiple organ dysfunction syndrome." 3. "Infection isn't necessary to develop SIRS, only a severe inflammation." 4. "Your husband's body is working against itself."
Which statement indicates that a client understands the most appropriate time of day to take an alpha blocker drug for treatment of benign prostatic hyperplasia (BPH)?
a. "I'll take my medication at bedtime." b. "As soon as I get up, I will take my medi-cation." c. "I will take my medication with food or milk." d. "I'll take my medication on an empty stomach."
The nurse explains to the patient scheduled to undergo a cardiac catheterization that the test involves the use of
A) A Doppler instrument to determine coronary blood flow B) A venous catheter to measure cardiac output C) High-frequency sound waves to detect coronary blood flow D) Radiopaque dye injected into an artery to visualize heart function