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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A. Cystic fibrosis (CF) patients typically lose more salt through sweat, so they need extra salt in their diet, not a restriction. Restricting salt is not recommended for CF patients.
B. Limiting fluid intake is not appropriate for CF patients, as they often require adequate hydration to help thin mucus and improve respiratory function.
C. CF patients need a high-calorie, high-fat, and high-protein diet to support their increased metabolic demands and to help with nutrient absorption, as they often have malabsorption issues. Low-fat meals are not recommended.
D. Pancreatic enzyme replacement therapy is essential for CF patients because their pancreas does not produce enough enzymes to properly digest food. These enzymes should be taken with meals and snacks to aid digestion and nutrient absorption.
Correct Answer is A
Explanation
A. Consolidation refers to the accumulation of inflammatory products, such as exudate, in the alveoli of the lungs, which is a hallmark finding in pneumonia. It appears as a dense, solid area on chest X-ray and indicates that the lung tissue has become filled with fluid, pus, and cellular debris.
B. Exudation is the process by which fluid and cells leak out of blood vessels into the surrounding tissues, which is part of the inflammatory response in pneumonia. However, consolidation is the specific diagnostic finding that results from exudation in pneumonia.
C. Pneumonia is the overall condition being described, but it is not the diagnostic finding itself. Consolidation is the key radiological and clinical finding in pneumonia.
D. Hemoptysis, or coughing up blood, can occur in some cases of pneumonia, but it is not a typical or defining diagnostic finding of pneumonia. It is more often associated with conditions like tuberculosis or lung cancer.
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