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Zorluk: KolayBasic Care and Comfort

A client is recuperating on the medical unit after a diagnostic lumbar puncture. The individual complains of a mild throbbing headache. Which interventions should the practical nurse implement to promote comfort and safety? Select all that apply.

  1. Encourage the client to increase oral fluid intake as tolerated.Cevap
  2. Keep the client lying flat in bed for the prescribed duration.Cevap
  3. Provide a darkened, quiet environment in the client's room.Cevap
  4. D
    Elevate the head of the bed to a semi-Fowler's position to ease the headache.
  5. E
    Administer an intravenous push dose of a prescribed opioid analgesic.

Cevap

The correct interventions are encouraging oral fluid intake, keeping the client flat in bed, and providing a darkened, quiet environment.
Appropriate basic care for a post-lumbar puncture headache includes promoting hydration to restore cerebrospinal fluid, maintaining a flat position to prevent further fluid leakage, and reducing environmental stimuli to ease discomfort.

Adım Adım Çözüm

1
Analyze the client's clinical situation and current symptoms.
The client recently had a lumbar puncture and is experiencing a throbbing headache, a common complication caused by cerebrospinal fluid leakage.
Understanding the cause of the headache helps determine the appropriate non-pharmacological and physiological interventions.
2
Evaluate the options based on the principles of basic care, comfort, and the practical nurse's scope of practice.
Hydration, flat positioning, and a quiet environment are appropriate and within scope. Elevating the head worsens the condition, and IV push medications are out of scope.
Nursing actions must be safe, therapeutically effective for the specific condition, and legally permissible.

Anahtar Kavram

Basic care and comfort measures for a post-lumbar puncture client involve minimizing cerebrospinal fluid loss and providing a restful environment.
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Konular

Basic Care and Comfort

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