The nurse is planning to assist with a lumbar puncture. The most vital nursing action prior to the procedure is:

A)

starting an IV and connecting a heart monitor.
B)

contacting the lab for a blood type and cross-match.
C)

emphasizing the importance of not moving during the procedure.
D)

obtaining a lumbar puncture kit.


C
Explanation:

A)

Clients need to be prepared for the position that must be maintained throughout the procedure to ensure safety. Options A and B would not be necessary.
Application
Planning
Physiological Integrity: Reduction of Risk Potential
B)

Clients need to be prepared for the position that must be maintained throughout the procedure to ensure safety. Options A and B would not be necessary.
Application
Planning
Physiological Integrity: Reduction of Risk Potential
C)

Clients need to be prepared for the position that must be maintained throughout the procedure to ensure safety. Options A and B would not be necessary.
Application
Planning
Physiological Integrity: Reduction of Risk Potential
D)

Clients need to be prepared for the position that must be maintained throughout the procedure to ensure safety. Options A and B would not be necessary.
Application
Planning
Physiological Integrity: Reduction of Risk Potential

Nursing

You might also like to view...

The nurse is conducting preoperative teaching with the patient and family. The nurse teaches the patient the proper use of the incentive spirometer

The nurse knows that the patient understands the need for this intervention when the patient states, "I use this device to: a. help my cough reflex." b. expand my lungs after surgery." c. increase my lung circulation." d. keep me from coughing."

Nursing

The nurse is promoting a healthy diet to the mother of a 2-week-old girl. Which of the following is the most effective anticipatory guidance?

A) Encouraging breastfeeding until the 6th month B) Advocating iron supplements with bottle feeding C) Advising fluid intake per feeding of 5 or 6 ounces D) Discouraging the addition of fruit juice to the diet

Nursing

The rate that best indicates the proportion of people exposed to an agent who develop the disease is:

1. Attack rate 2. Incidence 3. Prevalence 4. Susceptibility

Nursing

Which factor is primarily responsible for the difference between the speed of somatic transmission and autonomic transmission of nerve impulses?

1. Abundance of ganglia 2. Presence of myelin 3. Absence of acetylcholine 4. Availability of neuronal tissue

Nursing