The nurse is caring for a patient undergoing a lumbar puncture by the provider. Select the priority nursing intervention the nurse would complete after the procedure.<\/p>\n\n\n\n
A.
Maintain pressure to the puncture site and observe for drainage.<\/p>\n\n\n\n
B.
Complete a pain assessment and administer an ordered analgesic, as needed.<\/p>\n\n\n\n
C.
Inform the patient they may feel pressure and sharp pain in their lower back for several hours.<\/p>\n\n\n\n
D.
Assess pulses distal to the lumbar puncture site every two hours.<\/p>\n\n\n\n
The Correct Answer and Explanation is:<\/mark><\/strong><\/p>\n\n\n\n The priority nursing intervention the nurse would complete after a lumbar puncture is:<\/strong><\/p>\n\n\n\n A. Maintain pressure to the puncture site and observe for drainage.<\/strong><\/p>\n\n\n\n Explanation:<\/strong><\/p>\n\n\n\n A lumbar puncture, also known as a spinal tap, involves inserting a needle into the lumbar region of the spine to collect cerebrospinal fluid (CSF) or administer medications. Post-procedure care is crucial to prevent complications and ensure patient safety.<\/p>\n\n\n\n 1. Maintaining Pressure and Observing for Drainage:<\/strong><\/p>\n\n\n\n Immediately after the procedure, the most critical intervention is to maintain pressure at the puncture site and observe for any drainage. This step helps to prevent bleeding and CSF leakage from the puncture site. If there is bleeding or significant drainage, it could indicate a complication such as a hematoma or cerebrospinal fluid leak, which could lead to headaches, meningitis, or other serious issues. By applying pressure, the nurse helps to minimize these risks and ensures proper closure of the puncture site.<\/p>\n\n\n\n 2. Pain Assessment and Analgesia:<\/strong><\/p>\n\n\n\n While pain management is important, it is not the most immediate concern immediately after the procedure. Although assessing pain and administering analgesics as needed is important for patient comfort, the primary focus immediately post-procedure is to monitor for signs of complications such as bleeding or leakage.<\/p>\n\n\n\n 3. Informing the Patient:<\/strong><\/p>\n\n\n\n Informing the patient about possible post-procedure sensations, such as pressure and sharp pain, is part of pre-procedure education and post-procedure support. However, this does not address the immediate physical care required to prevent complications.<\/p>\n\n\n\n 4. Assessing Pulses Distal to the Site:<\/strong><\/p>\n\n\n\n Assessing pulses distal to the lumbar puncture site is important for monitoring blood flow and detecting any vascular complications. However, this is not the primary concern immediately after the procedure compared to managing the puncture site itself.<\/p>\n\n\n\n In summary, maintaining pressure at the puncture site and observing for drainage is the priority nursing intervention immediately after a lumbar puncture to prevent complications and ensure the patient\u2019s safety.<\/p>\n","protected":false},"excerpt":{"rendered":" The nurse is caring for a patient undergoing a lumbar puncture by the provider. Select the priority nursing intervention the nurse would complete after the procedure. A.Maintain pressure to the puncture site and observe for drainage. B.Complete a pain assessment and administer an ordered analgesic, as needed. C.Inform the patient they may feel pressure and […]<\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"site-sidebar-layout":"default","site-content-layout":"","ast-site-content-layout":"default","site-content-style":"default","site-sidebar-style":"default","ast-global-header-display":"","ast-banner-title-visibility":"","ast-main-header-display":"","ast-hfb-above-header-display":"","ast-hfb-below-header-display":"","ast-hfb-mobile-header-display":"","site-post-title":"","ast-breadcrumbs-content":"","ast-featured-img":"","footer-sml-layout":"","ast-disable-related-posts":"","theme-transparent-header-meta":"","adv-header-id-meta":"","stick-header-meta":"","header-above-stick-meta":"","header-main-stick-meta":"","header-below-stick-meta":"","astra-migrate-meta-layouts":"default","ast-page-background-enabled":"default","ast-page-background-meta":{"desktop":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"tablet":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"mobile":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""}},"ast-content-background-meta":{"desktop":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"tablet":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"mobile":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""}},"footnotes":""},"categories":[25],"tags":[],"class_list":["post-139837","post","type-post","status-publish","format-standard","hentry","category-exams-certification"],"_links":{"self":[{"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/posts\/139837","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/comments?post=139837"}],"version-history":[{"count":0,"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/posts\/139837\/revisions"}],"wp:attachment":[{"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/media?parent=139837"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/categories?post=139837"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/tags?post=139837"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}