The nurse is assisting the physician in completing a lumbar puncture. Which would the nurse note as a concern?
Client states a piercing feeling.
Physician maintains aseptic procedure.
Client states pressure relief in the head.
Cerebrospinal fluid is cloudy in nature.
The Correct Answer is D
Cerebrospinal fluid is cloudy in nature. Cloudy cerebrospinal fluid is a sign of infection or inflammation in the central nervous system, and lumbar puncture can be used to obtain cerebrospinal fluid for diagnostic purposes. The nurse should report this finding immediately to the physician for further evaluation and management.
Choice A, client states a piercing feeling, is incorrect because a piercing feeling is common during the procedure due to the insertion of the needle into the subarachnoid space.
Choice B, physician maintains aseptic procedure, is incorrect because maintaining aseptic technique during the procedure is standard protocol to prevent infection.
Choice C, client states a pressure relief in the head, is incorrect because this is not a concerning finding during the procedure.
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Correct Answer is {"dropdown-group-1":"C"}
Explanation
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Correct Answer is ["A","B","C"]
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Polydipsia, Polyuria, and Polyphagia. These are the three P's of hyperglycemia, which are common symptoms of diabetes. Polydipsia refers to excessive thirst, polyuria refers to excessive urination, and polyphagia refers to excessive hunger. These symptoms are caused by high blood glucose levels in the body.
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