A patient has just had a lumbar puncture completed. List the appropriate nursing interventions the nurse should carry out to prevent complications from the procedure
What will be an ideal response?
The site should be checked for redness or drainage
Monitor for headaches
Assess temperature
Monitor puncture site for signs of leakage or cerebrospinal fluid
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During assessment, the nurse is most likely to find the attitude of the depressed patient toward his illness to be:
a. "It's just a matter of time and I'll be well.". b. "I think the medicine will help in time.". c. "I can fight this, I don't have to be depressed.". d. "It's the way I am, I deserve to be this way.".
A 12-year-old boy is diagnosed with bulimia nervosa. When providing client education to the parents of the client, the nurse points out that what is common in clients afflicted with bulimia nervosa?
A) Inpatient hospital treatment B) Physical ailments related to extreme weight loss C) Substance abuse D) Aggression and violence
Which does the nurse implement when performing venipuncture?
1. Insert the needle, bevel up, at a 45-degree angle. 2. Select a vein that is rigid, cordlike, and prominent. 3. Insert needle at once after scrubbing skin with alcohol. 4. Pull skin taut by placing thumb about 1 inch below site.
A 30-year-old man is being admitted to the hospital for elective knee surgery. Which assessment finding is most important to report to the health care provider?
a. Tympany on percussion of the abdomen b. Liver edge 3 cm below the costal margin c. Bowel sounds of 20/minute in each quadrant d. Aortic pulsations visible in the epigastric area