The nurse is providing post-procedure care for a patient who has had a lumbar puncture. Which of the following orders does the nurse anticipate?
a. Have the patient lie flat for 6 hours.
b. Keep the patient NPO for 4 hours.
c. Monitor the patient's pedal pulses every 4 hours.
d. Keep the head of the bed elevated 30 degrees for 8 hours.
ANS: A
After the lumbar puncture is completed, instruct the patient to remain on bedrest with the head of the bed flat for 6 to 8 hours, as ordered by the physician, and to increase oral intake of fluids. Keeping the head flat decreases the likelihood of leakage of cerebrospinal fluid from the puncture site, which can result in a severe headache. Pedal pulses are important for angiograms.
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