Which position should a nurse instruct a patient to assume after a lumbar puncture to prevent a headache?

Lie flat.

Lie on left side.

Stay in semi-Fowler position.

Ambulate in the room with assistance.

Answer and Explanation

The Correct Answer is A

A. Lie flat:

This option involves instructing the patient to lie flat on their back without elevating their head. Lying flat helps to maintain consistent pressure in the spinal canal, reducing the likelihood of CSF leakage from the puncture site. This position is commonly recommended after a lumbar puncture to prevent or minimize the occurrence of post-lumbar puncture headaches (PLPH).

B. Lie on left side:

This option involves instructing the patient to lie on their left side. While lying on the left side may provide some relief by reducing pressure on the lumbar puncture site, it is not typically recommended immediately after the procedure to prevent PLPH. Lying flat is generally preferred to minimize changes in CSF pressure and reduce the risk of headache.

C. Stay in semi-Fowler position:

The semi-Fowler position involves elevating the head of the bed at a 30-45 degree angle. This position is not typically recommended immediately after a lumbar puncture because it may increase CSF leakage and pressure changes, potentially exacerbating the risk of developing a headache.

D. Ambulate in the room with assistance:

Ambulating shortly after a lumbar puncture is not typically recommended as it may increase the risk of developing a headache. Movement and changes in posture can exacerbate CSF leakage and pressure changes at the puncture site, leading to the development of post-lumbar puncture headaches.

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Free Nursing Study Resources

Correct Answer is ["15"]

Explanation

To calculate the dose of amantadine for a client with parkinsonism, the nurse needs to use the following formula:

Dose (mL) = Ordered dose (mg) / Concentration (mg/mL).

In this case, the ordered dose is 150 mg and the concentration is 50 mg/5 mL. Therefore, the dose in mL is:

Dose (mL) = 150 mg / (50 mg/5 mL)

Dose (mL) = 150 mg x (5 mL/50 mg)

Dose (mL) = 15 mL

The nurse should round the answer to the nearest whole number, which is 15 mL. The nurse should administer 15 mL of amantadine oral solution to the client.

A. Aura phase B. Presence of automatisms C. Postictal phase D. Presence of absence seizures

Correct Answer is C

Explanation

A. Aura phase:

The aura phase occurs before the seizure and is characterized by subjective sensations or experiences that some individuals may have. It serves as a warning sign that a seizure is about to occur. This phase precedes the seizure itself and is not applicable to the period immediately afterward.

B. Presence of automatisms:

Automatisms refer to repetitive, involuntary movements or actions that some individuals may exhibit during certain types of seizures, such as complex partial seizures. They are not typically observed during the postictal phase of a generalized tonic-clonic seizure.

C. Postictal phase:

The postictal phase, also known as the postictal state, refers to the period following a seizure during which the individual may experience confusion, drowsiness, or other altered states of consciousness. This phase typically lasts for minutes to hours and is characterized by gradual recovery of normal function.

D. Presence of absence seizures:

Absence seizures are characterized by brief episodes of altered consciousness, often manifesting as staring spells or momentary loss of awareness. They are distinct from generalized tonic-clonic seizures and do not involve the same postictal phase characterized by drowsiness and altered arousal.

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Which position should a nurse instruct a patient to assume after a lumbar puncture to prevent a headache?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Correct Answer is ["15"]

Explanation

A nurse is caring for a client who is difficult to arouse and very sleepy for several hours following a generalized tonic-clonic seizure. Which of the following descriptions should the nurse use when documenting this finding in the medical record?

Correct Answer is C

Explanation

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