A nurse is caring for a client who is undergoing a lumbar puncture.

Which of the following is the priority action for the nurse to take to maintain privacy for the client?

Pull the curtains around the client's bed.

Ask family members to leave the room.

Use sterile drapes to cover the client.

Close the door to the client's room.

Answer and Explanation

The Correct Answer is A

Choice A rationale:
Pulling the curtains around the client’s bed ensures privacy during the procedure.
Choice B rationale:
Asking family members to leave the room might be necessary, but it’s not the priority action.
Choice C rationale:
Using sterile drapes to cover the client is important for maintaining sterility, not privacy.
Choice D rationale:
Closing the door to the client’s room can provide privacy, but pulling the curtains around the bed is a more immediate action.

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Correct Answer is C

Explanation

Choice A rationale:
Cleaning the perineal area with antiseptic solution daily is not necessary and can disrupt normal flora.
Choice B rationale:
Routine irrigation of the catheter is not recommended as it can introduce bacteria.
Choice C rationale:
Checking the catheter tubing for kinks or twisting ensures urine flow and prevents infection.
Choice D rationale:
Replacing the catheter every 3 days is not necessary and can increase infection risk.

A. Apply a cold pack to the client's upper arm. B. Measure the circumference of both upper arms. C. Remove the PICC line. D. Notify the provider who inserted the PICC line.

Correct Answer is B

Explanation

Choice A rationale:
Applying a cold pack to the client’s upper arm would not be the first action to take. It may help reduce swelling, but it does not address the underlying issue.
Choice B rationale:
Measuring the circumference of both upper arms is the correct first action. This will provide objective data about the extent of the swelling, which can then be reported to the healthcare provider.
Choice C rationale:
Removing the PICC line is not the first action to take. This should only be done under the direction of a healthcare provider.
Choice D rationale:
Notifying the provider who inserted the PICC line is important, but it should be done after gathering all necessary data, including measuring the arm circumference.

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A nurse is caring for a client who is undergoing a lumbar puncture. Which of the following is the priority action for the nurse to take to maintain privacy for the client?

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A nurse is caring for a client who has an indwelling urinary catheter. Which of the following actions should the nurse take to prevent infection?

Correct Answer is C

Explanation

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Correct Answer is B

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A nurse is caring for a client who is undergoing a lumbar puncture.

Which of the following is the priority action for the nurse to take to maintain privacy for the client?