A nurse is teaching a newly licensed nurse about wearing medical masks. Which of the following statements should the nurse include?

A. Educating the client about the lumbar puncture procedure is crucial for informed consent and to alleviate anxiety. The nurse should explain the purpose of the procedure, what the client will experience during the procedure (such as positioning, sensation of pressure), potential risks (like headache post- procedure), and benefits (diagnostic information for the healthcare provider).

B. Positioning the client correctly is important for the success and safety of the lumbar puncture. The lateral recumbent (side lying) position with the knees drawn up towards the abdomen helps to flex the spine and widen the spaces between the vertebrae in the lumbar region. This positioning makes it easier for the healthcare provider to access the spinal canal and perform the procedure accurately.
C. Informed consent is a legal and ethical requirement before performing any invasive procedure, including a lumbar puncture. The nurse must ensure that the client (or their legally authorized representative) understands the purpose of the procedure, its risks and benefits, alternative options (if any), and gives voluntary consent without coercion.
D. NPO (nothing by mouth) status helps reduce the risk of aspiration during the procedure, especially if the client needs sedation or if complications arise requiring emergency intubation. It ensures that the client's stomach is empty, minimizing the risk of vomiting and aspiration during the procedure.
E. Coagulation studies (such as PT/INR and PTT) may be ordered to assess the client's bleeding risk before performing a lumbar puncture. This is particularly important if there are concerns about bleeding disorders or if the client is on anticoagulant medications. Normal coagulation parameters are reassuring before proceeding with an invasive procedure.
F. Contrast dye is not typically used in a routine lumbar puncture.
G. Administering a soapsuds enema is not typically necessary before a lumbar puncture unless specifically indicated by the healthcare provider. It may be used in certain cases to reduce the risk of fecal contamination during the procedure, particularly if the client is constipated.
H. IV sedation is not routinely administered during a lumbar puncture in adult clients

A. A care coordinator role involves organizing and facilitating the delivery of healthcare services to ensure that the client's needs are met in a timely and efficient manner. This includes coordinating care plans, scheduling appointments, communicating between healthcare providers, and ensuring continuity of care. The nurse acts as a central point of contact and coordination for the client's healthcare team, ensuring all aspects of care are addressed.
B. A counselor role involves providing emotional support, guidance, and counseling to clients and their families. While nurses may provide counseling as part of their care, it typically focuses on health-related issues and coping strategies rather than organizing interprofessional teams.
C. An educator role involves providing information, teaching, and training to clients, families, and healthcare team members. Nurses educate clients about their health conditions, treatments, and self- care practices. They also educate other healthcare professionals on best practices, new treatments, and protocols. While education is crucial for effective teamwork, it alone does not encompass organizing interprofessional teams.
D. A researcher role involves conducting scientific inquiry and research to advance knowledge and improve healthcare practices. Researchers contribute to evidence-based practice by generating new knowledge through research studies. While research may influence healthcare teams' decisions and practices, it is not directly related to organizing interprofessional teams for client care.