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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["A","C","D","E"]
Explanation
NSAIDs, corticosteroids, topical analgesics, and TENS units are medications that may be used to help degenerative joint disorders. NSAIDs, such as ibuprofen, naproxen, and aspirin, help to reduce inflammation and relieve pain. Corticosteroids, such as prednisone, are powerful anti-inflammatory agents used for severe symptoms. Topical analgesics, such as creams or patches, can help relieve localized pain. TENS units use electrical stimulation to reduce pain and improve function. Aspirin is not a medication commonly used for degenerative joint disorders.
Correct Answer is C
Explanation
Compression fractures. Osteoporosis is a condition characterized by decreased bone mass and density, which can lead to an increased risk of fractures. In severe cases of osteoporosis, the client may be at risk for compression fractures, especially in the spine. Compression fractures can lead to pain, loss of height, and a stooped posture.
Choice A, diabetes, is not the correct answer because it is a metabolic disorder that affects the way the body uses glucose.
Choice B, cardiac disease, is not the correct answer because it is a group of disorders that affect the heart and blood vessels.
Choice D, hypertension, is not the correct answer because it is a condition characterized by high blood pressure.
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