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. A random blood sugar of 150 mg/dL is within an acceptable range for someone with diabetes, though it may suggest some fluctuation in blood glucose levels. It does not definitively indicate poor control of diabetes.
B. There are multiple methods to determine if diabetes is under tight control, including blood glucose monitoring and glycosylated hemoglobin (HbA1c) testing.
C. A reduced glycosylated hemoglobin level would indicate that blood glucose levels have been well-controlled over the past few months, suggesting that the patient is in tight control.
D. An elevated glycosylated hemoglobin level indicates that the patient's average blood glucose levels have been higher than recommended over the past 2-3 months, suggesting poor control of diabetes despite the patient's reported blood sugar levels. HbA1c is a key indicator of long-term glucose control.
Correct Answer is C
Explanation
A. Anti-inflammatory drugs do not primarily work by increasing blood flow to the tissues. While some may have vasodilatory effects, their primary function is to reduce inflammation.
B. Anti-inflammatory drugs do not directly decrease scar formation. They reduce inflammation, which may indirectly help prevent excessive scarring in tissues affected by chronic inflammation, but this is not their primary action.
C. The main action of anti-inflammatory drugs, such as nonsteroidal anti-inflammatory drugs (NSAIDs) or corticosteroids, is to block the chemical mediators of inflammation, such as prostaglandins. This reduces pain, swelling, and other symptoms of inflammation.
D. Anti-inflammatory drugs do not directly enhance the body's immune system. In fact, some, like corticosteroids, may suppress immune responses to reduce inflammation.
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