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?
Use sterile drapes to cover the client.
Pull the curtains around the client's bed.
Close the door to the client's room.
Ask family members to leave the room.
The Correct Answer is B
A. While sterile drapes are important for maintaining a sterile field during the procedure, they do not directly address the issue of privacy.
B. Pulling the curtains around the client's bed is the most appropriate action to ensure privacy during the procedure. It creates a physical barrier to maintain confidentiality and dignity for the client while they undergo the lumbar puncture.
C. Closing the door to the client's room can also help maintain privacy but may not be as effective in a shared space like a hospital ward. Curtains are a more immediate and effective means of providing privacy.
D. Asking family members to leave the room may be necessary for the procedure but does not directly relate to privacy during the procedure. The focus should be on ensuring the environment is private by pulling curtains and closing doors.
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Related Questions
Correct Answer is C
Explanation
A. Stones that are too small to pass typically do not require surgical removal. Smaller stones are usually managed conservatively with hydration and pain management.
B. Mild, intermittent pain for 1 day does not usually indicate the need for surgery. Conservative management is often appropriate for such cases.
C. Obstruction of urine flow is a primary indication for surgical removal of renal stones. If a stone is blocking the urinary tract, it can cause severe pain, infection, or kidney damage, making surgical intervention necessary.
D. A small stone without evidence of size increase may not require surgery unless it is causing symptoms or complications. Most small stones pass naturally over time.
Correct Answer is B
Explanation
A. Immunodeficiency does not directly cause endocrine disorders, although some immune system issues can affect endocrine function, such as in autoimmune diseases.
B. Adenomas (benign tumors) are the most common cause of endocrine disorders, as they can overproduce hormones or disrupt normal gland function, leading to conditions like hyperthyroidism or Cushing's disease.
C. Surgical removal of endocrine glands may cause endocrine disorders, but it is a result of treatment rather than a common cause.
D. Infection can lead to endocrine disorders, particularly in cases of infectious diseases affecting specific glands (e.g., thyroiditis), but it is not the most common cause overall.
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