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?

Crackles heard in the lungs.

Fluid overload occurs when there is an excessive accumulation of fluid in the body, and it can occur in clients receiving enteral tube feedings. Crackles heard in the lungs, also known as rales, are abnormal lung sounds that can indicate the presence of fluid in the lungs. These crackling sounds occur when there is an excess of fluid in the alveoli or when air passes through fluid- filled airways. Crackles can be heard during auscultation of the lungs using a stethoscope and are a significant sign of fluid overload.

decreased skin turgor in (option A) is incorrect because it, is a sign of dehydration rather than fluid overload. Decreased skin turgor occurs when the skin lacks elasticity and is often seen in clients who are dehydrated.

weight loss in (option C) is incorrect because it, is not typically associated with fluid overload. Fluid overload usually results in weight gain or fluid retention rather than weight loss.

decreased blood pressure in (option D) is incorrect because it, is more commonly associated with hypovolemia or fluid deficit rather than fluid overload. In fluid overload, blood pressure may be elevated due to increased fluid volume.

In summary, crackles heard in the lungs are a manifestation of fluid overload and can be a significant sign for the nurse to assess and address in a client receiving enteral tube feedings.

When providing a change-of-shift report, it is important to do so in a private and secure area away from public spaces. Sharing client information outside the client's room helps maintain confidentiality and prevents unauthorized individuals from overhearing sensitive information. Discussions about a client's prognosis should be limited to the appropriate healthcare professionals involved in the client's care. Sharing this information with an assistive personnel who is not directly involved in the client's care breaches confidentiality.

Displaying a client's diagnosis on a message board in a public area breaches confidentiality. It is essential to respect and protect a client's privacy by avoiding the unnecessary disclosure of sensitive information.

Proper disposal of documents containing client information is crucial to maintain confidentiality. Discarding worksheets with client information in a wastebasket without ensuring they are securely destroyed or shredded poses a risk of unauthorized access to sensitive information.