Answer to Question 1
B
B. Teach client the importance of drinking extra fluids after the procedure to replace CSF removed during the lumbar puncture.
A. The duration of postprocedure bed rest has not been shown to be related to the incidence of headache.
C. Assessing client's level of comfort provides a reliable detection for increasing pain so that postprocedure analgesia may be given.
D. Assist client in assuming comfortable position. The duration of postprocedure bed rest has not been shown to be related to the incidence of headache.
Answer to Question 2
C
C. Eye drops should be instilled into the lower conjunctival sac. The conjunctival sac normally holds 1 or 2 drops and provides even distribution of medication across the eye.
A. The cornea is very sensitive. If drops were instilled onto the cornea it would stimulate the blink reflex.
B. The outer canthus would not hold the eye drop, which could be wasted and would not be distributed evenly across the eye.
D. The opening of the lacrimal duct is not the correct site for eye drops to be instilled. It would not provide even distribution of drops across the eye, and medication would most likely be wasted because this area could not contain the drops.
NUrse :0
B, The nurse teaches the postoperative client to use an incentive spirometer to expand the lungs.
The surgical nurse assists the client into the correct position
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