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?
Head flexed to the chest and her knees pulled up to the abdomen
Arms raised above her head with her legs elevated on pillows
Prone with her arms at her side and her legs extended
Trendelenburg with her body in Sims' position
The Correct Answer is A
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Placing soiled linens on the floor can lead to cross-contamination and the spread of infectious agents. This can pose a risk to the immunocompromised client, who may be more susceptible to infections.
Lining waste containers with single bags helps contain potentially infectious waste and facilitates proper disposal. This reduces the risk of contamination and exposure to infectious materials.
Using dampened cloths for dusting helps minimize the spread of dust and airborne particles. Dampening the cloth can help capture the dust and prevent it from becoming airborne, reducing the potential for respiratory exposure.
Placing uncapped sharps in a puncture-resistant container is an essential practice to prevent needlestick injuries and the transmission of bloodborne pathogens. This ensures safe disposal of sharps and reduces the risk of accidental needlestick injuries to healthcare workers and clients.
Correct Answer is C
Explanation
By acknowledging and validating the client's feelings of fear and concern, the nurse establishes a supportive and empathetic approach. This response helps build trust and rapport with the client, creating an environment where open communication is encouraged. Engaging in further discussion allows the client to express their thoughts and beliefs, which can aid in understanding their perspective and providing appropriate care.
Option A is not the best response as it directly denies the client's belief, which can further escalate their paranoia and potentially damage the therapeutic relationship.
Option B is also not the best response as it challenges the client's belief without providing validation or understanding. It may make the client defensive and reluctant to share their thoughts further.
Option D is not the best response as it focuses on questioning the client's belief without providing support or empathy. It does not address the underlying fear and may not help the client feel heard or understood.
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