During a lumbar puncture on a client in the lateral recumbent position, the physician remarks that the opening pressure is normal. The nurse would interpret this to mean that the pressure is
a. below 5 mm Hg.
b. between 6 and 13 mm Hg.
c. between 14 and 25 mm Hg.
d. above 25 mm Hg.
B
The normal opening pressure with the client in the lateral recumbent position is 6 to 13 mm Hg.
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A nurse is administering tuberculin screening tests to people attending a health fair. When injecting the solution, the nurse should take which of these steps?
a. Insert the needle at a 10-degree angle, inject rapidly, note formation of a bleb, and withdraw needle. b. Insert the needle at a 5- to 15-degree angle, inject slowly, note formation of a bleb, withdraw needle, and massage the site. c. Insert the needle at a 5- to 15-degree angle, inject slowly, note formation of a bleb, and withdraw needle. d. Insert the needle at a 10-degree angle, inject rapidly, note formation of a bleb, withdraw needle, and massage the site.
A client is to be treated for suspected cystitis. Which of these orders should the nurse implement first?
a. Administer urinary antimicrobial medication. b. Administer urinary tract analgesics. c. Obtain a urine specimen for culture and sensitivity (C&S). d. Start an IV fluid at 100 mL/h.
What do most nursing interventions pertaining to sexuality involve?
A) Teaching to promote sexual health B) Examinations to identify sexually transmitted infections C) Advocacy for those with sexual dysfunctions D) Maintaining confidentiality and privacy
The parent of an adolescent diagnosed with mental illness asks the nurse, "Why do you want to do a family assessment? My teenager is the patient, not the rest of us." Select the nurse's best response
a. "Family dysfunction might have caused the mental illness." b. "Family members provide more accurate information than the patient." c. "Family assessment is part of the protocol for care of all patients with mental illness." d. "Every family member's perception of events is different and adds to the total picture."