A client who underwent a lumbar puncture one hour ago has been transported back to the medical unit. The client reports a mild headache. When providing basic care and comfort, which actions should the practical nurse implement? Select all that apply.
- Maintain the client in a flat, supine position as prescribed.Answer
- Encourage the client to increase oral fluid intake, unless contraindicated.Answer
- Dim the overhead lights and maintain a quiet room environment.Answer
- DElevate the head of the bed to a high-Fowler's position to alleviate the headache.
- EApply physical restraints immediately if the client becomes mildly restless from the discomfort.
- FPrioritize administering a warm compress for the headache before evaluating a sudden onset of shortness of breath.
Answer
The correct actions are maintaining a flat, supine position, encouraging oral fluid intake, and dimming the lights to maintain a quiet environment.
After a lumbar puncture, basic care and comfort measures prioritize preventing cerebrospinal fluid leakage and promoting a restful environment. Maintaining a flat, supine position is essential to minimize a spinal headache. Encouraging oral fluids helps replenish cerebrospinal fluid volume, and dimming the lights provides non-pharmacological comfort.
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Key Concept
Post-Lumbar Puncture Basic Care and Comfort