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.

Answer and Explanation

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

Quiz #1: RN Exams Pharmacology Exams Quiz #2: RN Exams Medical-Surgical Exams Quiz #3: RN Exams Fundamentals Exams Quiz #4: RN Exams Maternal-Newborn Exams Quiz #5: RN Exams Anatomy and Physiology Exams Quiz #6: RN Exams Obstetrics and Pediatrics Exams Quiz #7: RN Exams Fluid and Electrolytes Exams Quiz #8: RN Exams Community Health Exams Quiz #9: RN Exams Promoting Health across the lifespan Exams Quiz #10: RN Exams Multidimensional care Exams

Get 100+ Naxlex Exit Exams for $79 Try Naxlex NCLEX-RN (14 Day Free-Trial)

Naxlex Comprehensive Predictor Exams

Quiz #1: Naxlex RN Comprehensive online practice 2019 B with NGN Quiz #2: Naxlex RN Comprehensive Predictor 2023 Quiz #3: Naxlex RN Comprehensive Predictor 2023 Exit Exam A Quiz #4: Naxlex HESI Exit LPN Exam Quiz #5: Naxlex PN Comprehensive Predictor PN 2020 Quiz #6: Naxlex VATI PN Comprehensive Predictor 2020 Quiz #8: Naxlex PN Comprehensive Predictor 2023 - Exam 1 Quiz #10: Naxlex HESI PN Exit exam Quiz #11: Naxlex HESI PN EXIT Exam 2

Free Nursing Study Resources

Correct Answer is C

Explanation

The fracture is on the diaphysis. The femur, which is the thigh bone, is made up of three parts: the head, neck, and diaphysis. The diaphysis is the long, cylindrical part of the bone between the proximal and distal ends. When reporting the location of a fracture on the femur, it is most accurate to describe the location as being on the diaphysis.

Choice A, the fracture is on the epiphyses, is incorrect because the epiphyses are the rounded ends of the bone and are not typically involved in long bone fractures.

Choice B, the fracture is on the tuberosity, is incorrect because the tuberosity is a bony prominence where muscles attach and is not typically involved in long bone fractures.

A. Reduced tensile strength. B. Loss of function. C. Lack of mobility. D. Allergic reaction.

Correct Answer is A

Explanation

Reduced tensile strength. A history of dislocations of the same joint may be due to an insufficient deposit of collagen during the healing process. Collagen is a protein that provides tensile strength to connective tissues such as tendons and ligaments. Reduced tensile strength may result in instability and dislocation of joints.

Option B: Loss of function is not a correct answer as it is a general term and can occur due to various reasons such as damage to muscles or nerves.

Option C: Lack of mobility is not a correct answer as it is similar to loss of function and does not explain the history of dislocations.

Option D: Allergic reaction is not a correct answer as it is not related to dislocations of joints.

View Question and Answer

Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.

Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today

The nurse is assisting the physician in completing a lumbar puncture. Which would the nurse note as a concern?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The emergency room nurse is reporting the location of a fracture to the client's primary car. When stating the location of the fracture on the long shaft of the femur, the nurse would be most correct to state which terminology locating the fractured site?

Correct Answer is C

Explanation

A client has a history of dislocations of the same joint. The nurse understands that this is most likely due to an insufficient deposit of collagen during the healing process leading to which of the following?

Correct Answer is A

Explanation

A client, who is recovering from bariatric surgery, is eating from a po [portable commode]. Nursing assessment is of greatest concern in the immediate postoperative period for which of the following?

A client in chronic renal failure becomes confused and complains of abdominal cramping, racing heart rate, and numbness of the extremities. The nurse relates these symptoms to which of the following lab values?

The nursing student is taking an anatomy and physiology class. What anatomical structure equalizes air pressure in the middle ear?

The nurse is checking the blood glucose of a client and has a reading of 48. The client is not easily awakened and only responds with a groan. What will the nurse administer to raise the blood glucose level?

A client is diagnosed with stage I cancer of the prostate. The nurse interprets this as indicating which of the following?

Which zone consists of the area where the injury is most severe and deepest?

The client had a nasogastric tube placed two days ago. Which nursing action provides the most reliable means to assess placement of a client's nasogastric tube, prior to each medication administration?

The nurse is reviewing a client's history which reveals that the client has had an oversecretion of growth hormone (GH) that occurred before puberty. The nurse interprets this as which of the following?