The nurse assists a health care provider with the collection of cerebrospinal fluid via a lumbar puncture. Which would not be included in the nurse's documentation of this procedure?

Question

1. Specimen collection and disposition
2. Health care provider's contamination of first needle, requiring the nurse to obtain a second needle
3. Client response during and after the procedure
4. Sterile technique followed throughout the collection process

Answer 1

Correct Answer: 2

There would be no need to document that the first needle was contaminated, requiring a second, because no error was made, the client was not injured in any way, and it could appear to be an error. The nurse should document what specimens were collected and where they were sent, how the client responded both during and after the procedure, and that sterile technique was followed.