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 A
Explanation
Choice A rationale:
Providing warm slipper-socks can help increase the client’s comfort by keeping their feet warm.
Choice B rationale:
Increasing the client’s oral fluid intake would not directly affect the temperature of their feet.
Choice C rationale:
Rubbing the client’s feet briskly for several minutes could potentially harm the client, especially if they have decreased sensation in their feet due to peripheral vascular disease.
Choice D rationale:
Placing a moist heating pad under the client’s feet could potentially burn the client, especially if they have decreased sensation in their feet due to peripheral vascular disease.
Correct Answer is B
Explanation
Choice A rationale:
Notifying the nurse manager is important, but it’s not the priority action.
Choice B rationale:
Monitoring the client for hypoglycemia is the priority because the nurse administered an excessive insulin dose.
Choice C rationale:
Completing an incident report is necessary, but it’s not the priority action.
Choice D rationale:
Giving the client 15 to 20 g of carbohydrate might be necessary if the client shows signs of hypoglycemia.
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