Examkin

Question

Difficulty: EasyBasic Care and Comfort

An older adult client is prescribed strict supine bed rest following a diagnostic lumbar puncture. When assisting the client with basic comfort and daily needs, which actions should the nurse implement? Select all that apply.

  1. Offer oral fluids frequently, such as water and juices.Answer
  2. B
    Elevate the head of the bed to 45 degrees when assisting the client with eating.
  3. Use a fracture bedpan to assist the client with elimination.Answer
  4. D
    Delegate the evaluation of the lumbar puncture site for fluid leakage to the unlicensed assistive personnel (UAP).
  5. Maintain a quiet, dimly lit environment to promote comfort and rest.Answer
  6. F
    Reassure visiting family members that the client's newly developed acute confusion is an expected part of the aging process.

Answer

The correct actions include offering frequent oral fluids, using a fracture bedpan for elimination, and maintaining a quiet, dim environment.
Following a lumbar puncture, the client must remain flat to prevent a spinal headache. Providing oral fluids helps replenish cerebrospinal fluid. A fracture bedpan allows for safe elimination without significantly elevating the hips or head, maintaining the required supine position. A quiet, dim environment promotes comfort and rest.

Step-by-Step Solution

1
Analyze the client's specific positional and safety requirements following a lumbar puncture.
The client requires a flat, supine position to prevent cerebrospinal fluid leakage and a subsequent spinal headache.
Maintaining the correct position dictates how basic care and comfort measures must be delivered.
2
Evaluate each intervention for safety, correct positioning, and appropriate scope of practice.
Providing fluids, using a fracture bedpan, and keeping the environment quiet align with safe care principles for a client who must remain flat.
Basic care must adapt to the client's medical restrictions without causing harm or violating delegation rules.

Key Concept

Basic care adaptations for clients on strict supine bed rest
Estimated Time:1m 0s
Rate this question

Topics

Basic Care and Comfort

More questions from this topic