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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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. Emphysema, a type of chronic obstructive pulmonary disease (COPD), is the most common cause of a barrel chest. It occurs due to the destruction of the alveoli, leading to air trapping and overinflation of the lungs, which causes the chest to take on a rounded, barrel-like appearance.
B. Pneumonia typically causes acute symptoms like fever, cough, and difficulty breathing, but it does not cause the chronic lung changes that result in a barrel chest.
C. Tuberculosis can cause lung damage, but it does not typically result in the barrel chest shape. It is more associated with symptoms like cough, hemoptysis, and weight loss.
D. Acute respiratory distress syndrome (ARDS) is an acute condition involving rapid onset of severe respiratory distress, often due to trauma or infection. It does not cause the chronic structural changes seen in a barrel chest.
Correct Answer is D
Explanation
A. Intention tremors are typically associated with neurological conditions, such as Parkinson's disease, rather than Addison's disease.
B. Hirsutism, or excessive hair growth, is often seen in conditions involving excess androgen production, such as polycystic ovary syndrome (PCOS), but not typically in Addison's disease.
C. Purple striations, or stretch marks, are commonly seen in Cushing's syndrome due to excess cortisol production, not Addison's disease.
D. Hyperpigmentation is a hallmark symptom of Addison's disease. It occurs due to increased production of melanocyte-stimulating hormone (MSH), which is a byproduct of the overproduction of adrenocorticotropic hormone (ACTH) in response to adrenal insufficiency.
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