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 B

Explanation

Choice A rationale:
Placing the client back in bed during a seizure could potentially cause injury. The priority is to protect the client from harm during the seizure.
Choice B rationale:
Placing the client on his side, specifically the recovery position, helps keep the airway clear and prevents aspiration.
Choice C rationale:
Holding the client’s arms and legs from moving could cause injury. It’s important to let the seizure take its course while protecting the client from harm.
Choice D rationale:
Inserting a tongue blade or any other object in the client’s mouth during a seizure is not recommended. It could cause injury to the client or the nurse.

A. "Place your legs in a dependent position while in bed.”. B. "Remain on bed rest.”. C. "Use elastic stockings.”. D. "Apply ice packs to your legs.”.

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.

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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?

Nursing Test Bank

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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?