Which is the appropriate patient position for a lumbar puncture?
a. Prone
b. Supine
c. Sims'
d. Lateral recumbent
D
Position the patient in a lateral recumbent (fetal) position with the head and neck flexed. This provides spinal column full curvature. The spinal column is flexed as much as possible to allow maximal space between vertebrae.
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A patient starting therapy with efavirenz [Sustiva] asks about the timing of the medication with regard to meals. What patient education about the administration of this medication should the nurse provide?
a. The drug must be taken within 30 minutes after a meal. b. The drug is best taken with a high-fat meal. c. The drug can be taken anytime without regard to meals. d. The drug should be taken once daily on an empty stomach.
You are caring for a client who has been diagnosed with breast cancer. The client tells you that she has discussed her options with the primary care provider and her family. She has decided to have a mastectomy and possible radiation therapy
Which of the following would be considered expected outcomes? The client will: (Select all that apply.) a. identify emotional feelings related to the diagnosis of breast cancer b. provide the client with information regarding possible side effects of chemotherapy c. relate an understanding of usual medical and surgical treatments for breast cancer d. discuss her perception of the effect of mas-tectomy, radiotherapy, and chemotherapy on her life. e. support client and family regarding decision related to treatment f. list coping strategies for incisional pain, radiation discomfort, and chemotherapy side effects.
Fifteen hours after admission, a patient's CK-MB level is markedly increased. What should this indicate to the treatment team?
1. Cellular necrosis of myocardial tissue has occurred. 2. Lactic acid is present. 3. Thrombolytic therapy is indicated. 4. Cardiac function has returned to normal.
A patient who has type 2 diabetes mellitus asks the nurse why the provider has changed the oral antidiabetic agent from tolbutamide (Orinase) to glipizide (Glucotrol). The nurse will explain that glipizide
a. has a longer duration of action. b. has fewer gastrointestinal side effects. c. may be taken on an as-needed basis. d. results in less hypoglycemic potential.