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.
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Choice A rationale:
Placing the legs in a dependent position can increase venous pressure and exacerbate venous insufficiency.
Choice B rationale:
Bed rest can lead to venous stasis and worsen venous insufficiency.
Choice C rationale:
Using elastic stockings can help improve venous return and reduce symptoms of venous insufficiency.
Choice D rationale:
Applying ice packs can constrict blood vessels and reduce blood flow, which is not recommended for venous insufficiency.
Correct Answer is A
Explanation
Choice A rationale:
Potassium 2.3 mEq/L is below the normal range of 3.5 to 5.0 mEq/L1. Hydrochlorothiazide, a diuretic, can cause hypokalemia, which is a low level of potassium.
Choice B rationale:
Chloride 99 mEq/L is within the normal range of 96 to 106 mEq/L2, so it’s not a concern.
Choice C rationale:
Sodium 136 mEq/L is within the normal range of 135 to 145 mEq/L3, so it’s not a concern.
Choice D rationale:
Calcium 10 mg/dL is within the normal range of 8.6 to 10.2 mg/dL4, so it’s not a concern.
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