Nokea
The nurse is providing post-procedure care for a patient recovering from a lumbar puncture. Which order should the nurse anticipate for this patient?
- A. Keep the patient NPO for 4 hours.
- B. Have the patient lie flat for 6 hours.
- C. Monitor the patient's pedal pulses every 4 hours.
- D. Keep the head of the bed elevated 30 degrees for 8 hours.
Correct Answer: B
Rationale: After a lumbar puncture, the patient should lie flat for 6 to 8 hours to prevent cerebrospinal fluid leakage and reduce the risk of a spinal headache. Monitoring pedal pulses or elevating the head of the bed is not necessary. Proper post-procedure care minimizes complications.
You may also like to solve these questions
Which of the following would describe the discomfort experienced by a client with a tension headache?
- A. A heavy feeling over the frontal region
- B. and sensitivity to light
- C. Pressure or steady constriction on both sides of the head
- D. Headache and temporary unilateral paralysis
Correct Answer: B
Rationale: Tension headaches often feel like a tight band around the head.
A patient complains of pain in the foot of a leg that was recently amputated. What should the nurse recognize about this pain?
- A. It is caused by swelling at the incision.
- B. It should be treated with ordered analgesics.
- C. It will become worse with the use of a prosthesis.
- D. It can be managed with diversion because it is psychologic.
Correct Answer: B
Rationale: Phantom pain is treated with analgesics.
The presence of hemianesthesia, hemianopia & sensory hemiataxia suggests damage to the following:
- A. internal capsule
- B. thalamus opticus
- C. spinal cord
- D. black substance
Correct Answer: B
Rationale: Thalamus opticus is the correct answer because it is a key relay station for sensory information, including pain, temperature, and visual signals. Damage to the thalamus can result in hemianesthesia (sensory loss on one side), hemianopia (visual field loss on one side), and sensory hemiataxia (loss of coordination on one side) due to disrupted sensory processing.
Those reflex actions which involve brain are called:
- A. Stimulus
- B. Cerebral reflexes
- C. Spinal reflexes
- D. Reflex arc
Correct Answer: B
Rationale: Cerebral reflexes are the correct answer because they involve the brain in processing and responding to stimuli. These reflexes occur in organs connected directly to the brain, such as the eyes and ears, and are more complex than spinal reflexes, which do not require brain involvement.
What is a normal response when testing cranial nerve IX (Glossopharyngeal nerve) and X (Vagus nerve)?
- A. The uvula should remain midline when the patient says "ah."
- B. The patient should be able to smell different scents.
- C. The patient should have normal hearing.
- D. The patient should exhibit symmetrical facial expressions.
Correct Answer: A
Rationale: Cranial nerves IX and X are tested by observing the uvula's position when the patient says "ah." A midline uvula indicates normal function. Smell, hearing, and facial expressions are assessed by other cranial nerves.