A nurse is assisting the anesthetist in performing a lumbar ...

[Mimi]

A nurse is assisting the anesthetist in performing a lumbar puncture on a client who is about to undergo a cesarean section under spinal anesthesia. What important factor should the nurse document before and after the procedure?
 
  A) Muscle tone and strength
  B) Function of the cranial nerves
  C) Direction of the eye movements
  D) Ability to move all extremities

Question 2

A nurse is assigned to care for a client with incontinence of urine. What should the nurse
  know about the schedules for making the bed?
 
  A) Only after client's bath
  B) Whenever the linen is soiled
  C) Daily just before bedtime
  D) Daily before visiting hours

[kaylee05]

Answer to Question 1

D
Feedback:
The nurse should document the client's ability to move all extremities before and after the lumbar puncture. There may be damage to the spinal cord if the spinal catheter goes too far, resulting in a mobility disorder. Assessing and documenting the muscle tone and strength, function of cranial nerves, and direction of the eye movements are key components of neurologic assessment and are not documented during lumbar puncture.

Answer to Question 2

B