A patient is being prepared for a neurologic work-up. Examinations include a CT scan, cerebral angiography, and lumbar puncture. The best position to place the patient in for a lumbar puncture is
a. supine.
b. reverse Trendelenburg.
c. high Fowler.
d. lateral recumbent position with her knees and head slightly tucked.
D
Patients undergoing a lumbar puncture are placed either in the lateral recumbent position, with the knees and head tightly tucked, or in the sitting position, leaning over a bedside table or some other support.
You might also like to view...
Anti-infective prophylaxis is indicated for a pregnant woman with a history of mitral valve stenosis related to rheumatic heart disease because the woman is at risk of developing:
a. hypertension. b. upper respiratory infections. c. postpartum infection. d. bacterial endocarditis.
A registered nurse, living in one state, is going to move to another state. The nurse applies for which type of licensure in the new state?
a. Licensure by examination c. Licensure by NCLEX-RN CAT b. Licensure by endorsement d. Waiver of licensure
The nurse is preparing to perform the Rinne test of hearing function. Which action by the nurse is appropriate?
1) Whispers several words to the patient and asks him or her to repeat what was heard 2) Places a vibrating tuning fork in the middle of the head 3) Places a set of earphones over both ears, plays several tones, and asks the patient to identify the sounds heard 4) Uses a tuning fork to compare the length of time the patient hears sound conducted by the mastoid bone versus air conduction
Which finding from the nurse's physical assessment of a 42-year-old male patient should be reported to the health care provider?
a. One testis hangs lower than the other. b. Genital hair distribution is diamond shaped. c. Clear discharge is present at the penile meatus. d. Inguinal lymph nodes are nonpalpable bilaterally.