A nurse is preparing a client for a lumbar puncture. Which position should the nurse place the client in to facilitate the procedure?
Supine with head elevated
Prone with legs extended
Lateral recumbent with knees flexed
Sitting upright with back straight
The Correct Answer is C
Choice A reason: Supine with head elevated is used for comfort or respiratory support but not for lumbar puncture. This position does not allow access to the lumbar spine or flex the back to open intervertebral spaces, which is necessary for safe needle insertion during the procedure.
Choice B reason: Prone with legs extended is used for procedures like wound care but not lumbar puncture. This position does not flex the spine to widen intervertebral spaces, making needle insertion difficult and risky. The lateral recumbent position is standard for accessing the subarachnoid space.
Choice C reason: Lateral recumbent with knees flexed maximizes lumbar spine flexion, opening intervertebral spaces for safe needle insertion into the subarachnoid space during a lumbar puncture. This position reduces the risk of nerve damage and ensures accurate cerebrospinal fluid collection, making it the standard choice.
Choice D reason: Sitting upright with back straight may be used in some procedures but is less common for lumbar puncture. It does not provide optimal spinal flexion compared to the lateral recumbent position, which better exposes the lumbar vertebrae, reducing complications during needle insertion.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
Choice A reason: Showing positions for holding a newborn addresses the psychomotor domain, teaching physical skills. The affective domain involves emotions and attitudes, not physical techniques. This action helps parents learn how to feed but does not explore their feelings or beliefs, which is the focus of affective learning.
Choice B reason: Explaining bottle-warming steps targets the cognitive domain, focusing on knowledge and procedure. It does not address emotions or attitudes, which are central to the affective domain. This action provides technical understanding but does not engage the parents’ feelings or values about newborn care.
Choice C reason: Having parents demonstrate diaper changing is a psychomotor activity, emphasizing skill acquisition. The affective domain involves feelings and attitudes, not physical tasks. While this builds confidence, it does not directly address emotional engagement or beliefs, which are necessary for affective learning in this context.
Choice D reason: Asking about breastfeeding views targets the affective domain by exploring parents’ emotions, beliefs, and attitudes. This encourages reflection on personal values, fostering emotional engagement with newborn care. Addressing these feelings helps build confidence and commitment, aligning with affective learning goals in nursing education.
Correct Answer is D
Explanation
Choice A reason: The affective domain involves emotions and attitudes, such as valuing a diet’s importance. The client’s understanding of the diet’s role in recovery indicates knowledge, not emotional engagement. While they may value the diet, the question emphasizes understanding, which aligns with cognitive learning, not affective.
Choice B reason: The psychomotor domain involves physical skills, like preparing food or performing tasks. Following a nutritional chart accurately may involve actions, but the question highlights understanding the diet’s role in recovery, which is cognitive. Physical adherence is secondary to the mental comprehension described in the scenario.
Choice C reason: The interpersonal domain, not standard in learning taxonomies, may imply social skills. The client’s actions involve individual understanding and application of knowledge, not social interaction. The focus on understanding the diet’s impact on recovery points to cognitive learning, not interpersonal or social processes.
Choice D reason: The cognitive domain involves knowledge, comprehension, and application. The client’s ability to read, follow, and understand the nutritional chart’s role in recovery demonstrates cognitive learning. This includes processing information, understanding relationships, and applying knowledge to improve health outcomes, aligning with the scenario’s description of successful learning.
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