A nurse is assisting the provider with a lumbar puncture for a client who has manifestations of meningitis.
Into which of the following positions should the nurse assist the client?

Arms raised above her head with her legs elevated on pillows.

Trendelenburg with her body in Sims' position.

Prone with her arms at her side and her legs extended.

Head flexed to the chest and her knees pulled up to the abdomen.

Answer and Explanation

The Correct Answer is D

Choice A rationale:

Placing the client's arms raised above her head with her legs elevated on pillows (choice A) is not the correct position for a lumbar puncture. This position does not facilitate proper alignment of the spine and may hinder the procedure.

Choice B rationale:

The Trendelenburg position with the body in Sims' position (choice B) is not the correct position for a lumbar puncture. This position is not commonly used for lumbar punctures and may not provide the necessary anatomical alignment for a successful procedure.

Choice C rationale:

Placing the client prone with her arms at her side and her legs extended (choice C) is not the appropriate position for a lumbar puncture. This position does not allow for proper access to the lumbar region and may impede the procedure.

Choice D rationale:

The correct position for a lumbar puncture is to have the client flex their head to the chest and pull their knees up to the abdomen (choice D) This position maximizes the space between the lumbar vertebrae, making it easier for the provider to access the subarachnoid space for cerebrospinal fluid collection.

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Correct Answer is A

Explanation

The correct answer is A. "We need to check the client's urine output every hour."

Choice A rationale:

Monitoring urine output every hour is crucial for assessing kidney function and ensuring the urostomy is functioning properly, especially in the immediate postoperative period.

Choice B rationale:

A pale stoma is not an expected finding. A healthy stoma should be pink to red. A pale stoma could indicate inadequate blood supply and needs immediate evaluation.

Choice C rationale:

While some blood or small clots in the urine might be expected shortly after surgery, this is not a standard instruction to give. Any significant or persistent bleeding should be reported and assessed promptly.

Choice D rationale:

Restricting fluid intake is generally not recommended after surgery unless specifically ordered. Adequate hydration is important for recovery and maintaining urinary output.

A. "This medication will darken the color of my eyes.” B. "This medication will dilate my eyes.” C. "I should take a zinc supplement while taking this medication.” D. "I should check my heart rate while taking this medication.” cONTINUh.

Correct Answer is D

Explanation

Choice A rationale:

"This medication will darken the color of my eyes." This statement is not accurate. Timolol eye drops, which are commonly used to treat glaucoma, do not darken the color of the eyes. This statement indicates a misunderstanding of the medication's effects.

Choice B rationale:

"This medication will dilate my eyes." This statement is not accurate either. Timolol is a beta-blocker that works to reduce intraocular pressure by decreasing the production of aqueous humor in the eye. It does not dilate the eyes; in fact, it has the opposite effect.

Choice C rationale:

"I should take a zinc supplement while taking this medication." This statement is unrelated to the use of timolol eye drops for glaucoma and is not part of the standard treatment plan. There is no established connection between taking zinc supplements and using timolol for glaucoma management.

Choice D rationale:

"I should check my heart rate while taking this medication." This statement indicates an understanding of the teaching. Timolol is a beta-blocker that can lower heart rate and blood pressure. Clients using timolol eye drops should be advised to monitor their heart rate regularly and report any significant changes to their healthcare provider. This is important for safety and to ensure that the medication is not causing any adverse cardiovascular effects.

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A nurse is assisting the provider with a lumbar puncture for a client who has manifestations of meningitis.Into which of the following positions should the nurse assist the client?

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Naxlex Comprehensive Predictor Exams

A nurse is discussing the plan of care of a client who is 4 hr postoperative and has a urostomy with an assistive personnel. Which of the following statements should the nurse include in the discussion?

Correct Answer is A

Explanation

A nurse is reinforcing teaching with a client who has primary open-angle glaucoma and a new prescription for timolol eye drops.Which of the following statements indicates an understanding of the teaching?

Correct Answer is D

Explanation

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A nurse is assisting the provider with a lumbar puncture for a client who has manifestations of meningitis.
Into which of the following positions should the nurse assist the client?