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.
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Choice A rationale:
Tingling of the scalp. Tingling of the scalp is not a common adverse reaction following electroconvulsive therapy (ECT) ECT primarily affects the brain and may result in memory-related side effects, but tingling of the scalp is not typically associated with this procedure.
Choice C rationale:
Voice alteration. Voice alteration is not a common adverse reaction to ECT. ECT is a procedure that involves inducing controlled seizures in the brain, and its primary effects are on cognitive and neurological function rather than the vocal cords or voice.
Choice D rationale:
Neck pain. Neck pain is not a common adverse reaction to ECT. This procedure primarily affects the brain and central nervous system, and neck pain is not typically associated with it.
Choice B rationale:
Temporary memory loss. Temporary memory loss is a well-documented and common adverse reaction to electroconvulsive therapy (ECT) ECT can affect memory consolidation, and clients may experience temporary memory gaps or difficulties recalling recent events. However, these memory deficits are usually short-term and improve over time.
Correct Answer is C
Explanation
The correct answer is ChoiceC.
Choice A rationale:Restricting fluid intake to 1 L per day is not recommended for a client with a urinary tract infection (UTI). Adequate hydration is essential for flushing out bacteria from the urinary tract and preventing further infections. Therefore, this choice is incorrect.
Choice B rationale:Taking the prescribed antibiotic until manifestations are gone is partially correct. It’s crucial for the client to complete the entire course of antibiotics, even if symptoms improve or disappear before the medication is finished. Stopping antibiotics early can lead to recurrent infections or antibiotic resistance. Therefore, this choice ispartially correct, but the instruction should be clarified to ensure the client understands the importance of completing the full course of antibiotics.
Choice C rationale:Wearing cotton underwear is recommended for clients with a UTI. Cotton is a breathable fabric that can help keep the area around the urethra dry, reducing the likelihood of bacterial growth. Therefore, this choice is correct.
Choice D rationale:Drinking orange juice daily for 3 to 4 weeks is not specifically recommended for a client with a UTI. While vitamin C can help inhibit bacterial growth, orange juice is high in sugar, which can promote bacterial growth. It’s more beneficial to drink water and other unsweetened fluids to help flush out the bacteria from the urinary tract. Therefore, this choice is incorrect.
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