A nurse is caring for a 14-year-old girl following myelography. What is the priority nursing action at this time?
A) Monitor for a decrease in spasticity.
B) Observe for signs of meningeal irritation.
C) Assess motor function.
D) Observe for mental confusion or hallucinations.
B
Response:
Following myelography, the nurse should carefully observe for signs of meningeal irritation because of what is involved in this procedure. The other actions are appropriate following an intrathecal test dose of baclofen.
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