A client is weak and drowsy after a lumbar puncture. The nurse caring for the client knows that what priority nursing intervention should be provided after a lumbar puncture?
Position the client flat as directed.
Leave the client to rest and do not perform any assessments.
Provide caffeine-rich drinks to the client.
Avoid administering analgesic agents to the client.
Avoid administering analgesic agents to the client.
The Correct Answer is A
Choice A rationale
Positioning the client flat as directed is the priority intervention after a lumbar puncture to prevent cerebrospinal fluid (CSF) leakage, which can lead to a post-lumbar puncture headache. This position helps maintain normal CSF pressure and promotes sealing of the puncture site.
Choice B rationale
Leaving the client to rest without performing any assessments is not appropriate, as continuous monitoring is necessary to detect any complications such as bleeding or changes in neurological status. Regular assessments help ensure timely intervention if issues arise.
Choice C rationale
Providing caffeine-rich drinks is sometimes recommended to alleviate headaches caused by CSF leakage post-lumbar puncture. However, it is not the priority intervention immediately after the procedure, which focuses on positioning and monitoring.
Choice D rationale
Avoiding analgesic agents is incorrect. Pain management is an important aspect of care post-lumbar puncture, and appropriate analgesics should be administered as needed. The focus should be on positioning and monitoring, not withholding pain relief.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Choice A rationale
Damage to Broca's area of the left frontal lobe does not typically affect balance. Balance is more associated with the cerebellum and inner ear structures.
Choice B rationale
Hearing is processed primarily in the temporal lobe, not in Broca's area of the frontal lobe. Damage to Broca's area does not typically impact hearing.
Choice C rationale
Broca's area is responsible for speech production and language processing. Damage to this area can result in Broca's aphasia, characterized by difficulty in speaking and writing but with relatively preserved comprehension.
Choice D rationale
Vision is primarily processed in the occipital lobe. Damage to Broca's area does not affect vision.
Correct Answer is D
Explanation
Choice A rationale
Roth's spots are retinal hemorrhages with pale centers, indicative of certain systemic conditions, but do not relate to pupil response or parasympathetic effects.
Choice B rationale
One pupil being dilated while the other is normal could indicate a variety of issues, but not specifically a parasympathetic effect. This condition is known as anisocoria.
Choice C rationale
Dilated pupils, or mydriasis, are usually the result of sympathetic stimulation, not a parasympathetic effect, which involves constriction of the pupils.
Choice D rationale
Constricted pupils, or miosis, are a parasympathetic effect typically resulting from increased activity of the parasympathetic nervous system, which reduces pupil size.
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