A client is having a lumbar puncture. In which position should ...

[jessicacav]

A client is having a lumbar puncture. In which position should the nurse place the client?
 
  1. Lateral with head bent toward the chest and knees flexed onto the abdomen
  2. Lying prone, with the knees drawn up toward the abdomen
  3. Sitting bent over from the waist with legs extended
  4. Supine with knees pulled toward the chest

Question 2

A client with tattooed eyeliner is scheduled for an MRI. What should the nurse instruct the client about this diagnostic test?
 
  1. Earplugs will be provided.
  2. Lie very still.
  3. Report any burning sensation.
  4. Wear goggles.

[okolip]

Answer to Question 1

Correct Answer: 1
Rationale 1: Lying in the lateral position with the head bent toward the chest and knees flexed onto the abdomen is the correct position for a lumbar puncture. In this position the back is arched, increasing the spaces between the vertebrae so that the spinal needle can be readily inserted.
Rationale 2: Lying prone with knees down toward the abdomen would position the client too high for the physician and could lead to increased intracranial pressure.
Rationale 3: Sitting would not arch the back enough to increase the space between the vertebrae for puncture.
Rationale 4: Supine with knees pulled toward the chest does not expose the vertebrae to be punctured.

Answer to Question 2

Correct Answer: 4
Rationale 1: Earplugs are offered to reduce the noise.
Rationale 2: One does have to lie still, but the damage could still occur to the eyes if they are not covered.
Rationale 3: Covering the eyes would prevent a complication of burning.
Rationale 4: Recent reports have shown that, in very few instances, people with tattoos or permanent cosmetics experience edema or burning in the tattoo during an MRI. Any potential problems can be avoided by wearing goggles to cover permanent cosmetics around the eyes.