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. Pain at the site of injury, such as a paper cut, is often due to the release of chemical mediators like prostaglandins, bradykinin, and histamines, which are part of the inflammatory response. These mediators increase blood flow and sensitivity in the affected area, contributing to pain. Exudate (fluid containing white blood cells and proteins) also forms at the site to aid in healing, and this can increase sensitivity.
B. Increased perfusion (blood flow) is part of the inflammatory response, but it is not the direct cause of pain. While increased blood flow helps deliver nutrients and immune cells to the site, it is the chemical mediators that cause pain.
C. Bacteria entering the wound could cause infection, but pain from a paper cut is typically related to the inflammatory response rather than infection. If infection were present, pain would usually be accompanied by other signs like redness, heat, and pus.
D. Vasoconstriction is the opposite of what happens at the site of an injury. Inflammation causes vasodilation, not vasoconstriction, to increase blood flow to the area.
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.
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