The nurse is caring for a client who just had a lumbar puncture performed. The priority of care for this client is to:
1. Have the client cough, deep-breathe, and turn frequently.
2. Ensure the client lies flat for 6-12 hours.
3. Administer laxatives for 2-3 days following the procedure.
4. Apply pressure to the insertion site for 5-10 minutes.
2
Rationale: Following a lumbar puncture, the client should be kept in the supine position in order to prevent severe headaches. The nurse should monitor vital signs and encourage fluids. Laxatives, coughing, and deep breathing are not indicated. The physician performing the procedure normally applies pressure for 1-2 minutes to the insertion site prior to applying a bandage to the site.
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