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Chapter 23: Problem 112

A client has been scheduled for a lumbar puncture. Which would the nurse include in the implementation plans? A. Get the consent form signed for the lumbar puncture procedure B. Place the client in the prone position during the procedure C. Instruct the client that there will be no pain or discomfort D. Encourage fluid intake to assure a full bladder

Short Answer

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A. Get the consent form signed for the lumbar puncture procedure. B. Place the client in the prone position during the procedure. C. Instruct the client that there will be no pain or discomfort. D. Encourage fluid intake to assure a full bladder. Answer: A. Get the consent form signed for the lumbar puncture procedure.

Step by step solution

01

Explore options A, B, C, and D

First, we need to understand each of the given options: Option A: Get the consent form signed for the lumbar puncture procedure. Option B: Place the client in the prone position during the procedure. Option C: Instruct the client that there will be no pain or discomfort. Option D: Encourage fluid intake to assure a full bladder.
02

Rule out inappropriate options

Next, we'll rule out options that are clearly not appropriate or necessary for a lumbar puncture procedure: Option C: Telling a client there will be no pain or discomfort is not accurate. While the procedure should not cause significant pain, there might be some discomfort. Hence, this option is not suitable. Option D: Encouraging fluid intake to assure a full bladder is not useful for a lumbar puncture procedure. It is not relevant to the procedure, so we can rule this option out. Now, we are left with options A and B.
03

Compare the remaining options

We will now compare options A and B to determine which one is the most appropriate nursing action as part of the implementation plan for a lumbar puncture procedure. Option A: Getting the client's consent is an essential step before any invasive procedure. A lumbar puncture is an invasive technique that requires written informed consent from the patient. Option B: The prone position is not the correct position for a lumbar puncture procedure. For a lumbar puncture, the client usually lies in the lateral recumbent position (on their side), with knees drawn up to the chest. This position opens the spaces between vertebrae, allowing better access to the spinal canal.
04

Select the correct answer

Based on our analysis, option A is the most appropriate nursing action as part of the implementation plan for a lumbar puncture procedure. The correct answer is: A. Get the consent form signed for the lumbar puncture procedure.

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Most popular questions from this chapter

The nurse is assigning task for a client with acute pancreatitis. Which would be assigned to the nurse's assistant? A. Monitor NG drainage for color, character, and amount B. Provide oral hygiene every two hours C. Administer pain medication as appropriate D. Teach the client to assume the fetal position to help decrease her pain

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