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 A
Explanation
A. Chronic alveolar distention, often seen in conditions like emphysema, leads to the enlargement of the alveoli and results in a barrel-shaped chest. This is due to the loss of elasticity in the lungs, causing air trapping and an increased anterior-posterior diameter of the chest.
B. Chronic costochondritis causes inflammation of the cartilage between the ribs and sternum, leading to localized pain but not a barrel chest.
C. Smoking is a major risk factor for the development of chronic obstructive pulmonary disease (COPD), which can lead to chronic alveolar distention and a barrel chest, but smoking alone is not the direct cause of the chest shape.
D. Hypokalemia affects muscle function, including the muscles involved in respiration, but it does not directly cause a barrel chest.
Correct Answer is B
Explanation
A. Increased total body water due to an increase in muscle mass is incorrect because muscle tissue holds more water than fat tissue, but as people age, they typically lose muscle mass, not gain it.
B. Decreased total body water due to a decrease in muscle mass is correct. As people age, muscle mass generally decreases, and since muscle tissue contains more water than fat tissue, the total body water decreases with aging.
C. Increased total body water caused by increased fat mass is incorrect because fat tissue actually holds less water than muscle tissue. As fat mass increases, total body water typically decreases.
D. Decreased total body water caused by decreased fat mass is incorrect because fat tissue does not significantly contribute to total body water, and the loss of fat does not have a significant impact on water content in the body.
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