A client is weak and drowsy after a lumbar puncture. The nurse caring for the client knows that what priority nursing intervention should be provided after a lumbar puncture?
A) Administer antihistamines to the client.
B) Provide adequate caffeine-rich drinks to the client.
C) Assess the level of consciousness (LOC) and the pupil response of the client.
D) Position the client flat for at least 3 hours.
D
Feedback:
A client who has undergone a lumbar puncture should be positioned flat for at least 3 hours and given adequate fluids, and this is a priority activity. These measures help restore the cerebrospinal fluid volume extracted from the client. The client is administered antihistamines to manage any allergic reactions that may occur from the test. The nurse should assess the LOC or the pupil response of the client after a lumbar puncture. Parenteral administration of caffeine sodium benzoate may offset cerebral vasodilation.
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