A nurse prepares a client for lumbar puncture (LP). Which ...

[luminitza]

A nurse prepares a client for lumbar puncture (LP). Which assessment finding should alert the nurse to contact the health care provider?
 
  a. Shingles on the client's back
  b. Client is claustrophobic
  c. Absence of intravenous access
  d. Paroxysmal nocturnal dyspnea

Question 2

A nurse delegates care to the unlicensed assistive personnel (UAP). Which statement should the nurse include when delegating care for a client with cranial nerve II impairment?
 
  a. Tell the client where food items are on the breakfast tray.
  b. Place the client in a high-Fowler's position for all meals.
  c. Make sure the client's food is visually appetizing.
  d. Assist the client by placing the fork in the left hand.

[JaynaD87]

Answer to Question 1

ANS: A
An LP should not be performed if the client has a skin infection at or near the puncture site because of the risk of infection. A nurse would want to notify the health care provider if shingles were identified on the client's back. If a client has shortness of breath when lying flat, the LP can be adapted to meet the client's needs. Claustrophobia, absence of IV access, and paroxysmal nocturnal dyspnea have no impact on whether an LP can be performed.

Answer to Question 2

ANS: A
Cranial nerve II, the optic nerve, provides central and peripheral vision. A client who has cranial nerve II impairment will not be able to see, so the UAP should tell the client where different food items are on the meal tray. The other options are not appropriate for a client with cranial nerve II impairment.

[luminitza]

Correct answers!

[JaynaD87]

Great! Please up vote