Author Question: A client who may be safely considered as a candidate for a lumbar puncture is an individual with: ... (Read 30 times)

nevelica · **on:** Jul 24, 2018

A client who may be safely considered as a candidate for a lumbar puncture is an individual with:

A. Meningitis
B. A bleeding disorder
C. Degenerative joint disease
D. Increased intracranial pressure

Question 2

The optimum position to place the client in for the insertion of a rectal suppository is:

A. Prone
B. Supine
C. Dorsal recumbent
D. Left Sims' position

soda0602 · **Reply #1 on:** Jul 24, 2018

Answer to Question 1

A
A. When the need for diagnostic LP is urgent, such as in clients without brain shift who are comatose and suspected of acute meningitis, prior CT may be omitted.
B and C. Contraindications include spinal degenerative joint disease, spinal deformities, and coagulopathies.
D. The major contraindication for lumbar puncture is if there is evidence of greatly increased intracranial pressure.

Answer to Question 2

D
A, B, C, and D. The left side-lying Sims' position exposes the anus and helps the client to relax the external anal sphincter, as well as lessening the likelihood of the suppository or feces being expelled.