Course Hero Logo

Stuviacom the marketplace to buy and sell your study

Course Hero uses AI to attempt to automatically extract content from documents to surface to you and others so you can study better, e.g., in search results, to enrich docs, and more. This preview shows page 121 - 123 out of 606 pages.

Stuvia.com - The Marketplace to Buy and Sell your Study MaterialKEY: NursingProcess Step: AssessmentMSC: NCLEX: Physiological Integrity7.The nurse is discussing the patient‘s upcoming elective lumbar puncture, and explains that thepatient will probably need to undergo computed tomography of the brain before the procedureis done. What is the reason for this?a.Diagnose central nervous system (CNS) infection.b.Rule out increased intracranial pressure.c.Visualize cerebrospinal fluid.d.Measure pressure in the subarachnoid space.ANS: BIn elective lumbar puncture (LP), pre-procedure computed tomography results are reviewedfor evidence of brain shift to rule out increased intracranial pressure. The purpose of the LPprocedure itself is to measure pressure in the subarachnoid space; obtain cerebrospinal fluid(CSF) for visualization and laboratory examination; and inject anesthetic, diagnostic, ortherapeutic agents. A computed tomography (CT) scan will not allow adequate visualizationof these structures.DIF:CognitiveLevel: ApplicationOBJ:Effectively assist health care providers with angiogram, cardiac catheterization, intravenous(IV) pyelogram, bone marrow aspiration/biopsy, lumbar puncture, paracentesis, bronchoscopy, andendoscopy.TOP: Lumbar PunctureKEY: NursingProcess Step: AssessmentMSC: NCLEX: Physiological Integrity8.The patient is a 56-year-old man who has terminal cirrhosis and severe ascites. He is lethargicbut is demonstrating signs of discomfort and respiratory distress. The physician has spokenwith the patient‘s wife and has obtained consent to performan abdominal paracentesis on thepatient. After the physician leaves to prepare for the procedure, the wife asks the nursewhether the procedure is really necessary. The nurse should respond by saying this:a.is the first step in the patient‘s recovery.b.may help the patient feel better.c.is needed to detect increased intracranial pressure.d.is needed to analyze pleural fluid.ANS: BStuvia.com - The Marketplace to Buy and Sell your Study MaterialDownloaded by: NurseProfessor | [email protected]Distribution of this document is illegalWant to earn$103 per month?
Stuvia.com - The Marketplace to Buy and Sell your Study MaterialThe patient is diagnosed as terminal. Paracentesis is a palliative measure used to providetemporary relief of abdominal and respiratory discomfort caused by severe ascites.Intracranial pressure is assessed with computed tomography. Thoracentesis, not paracentesis,is performed to analyze or remove pleural fluid.DIF:CognitiveLevel: ApplicationOBJ:Effectively assist health care providers with angiogram, cardiac catheterization, intravenous(IV) pyelogram, bone marrow aspiration/biopsy, lumbar puncture, paracentesis, bronchoscopy, andendoscopy.TOP: Abdominal ParacentesisKEY: NursingProcess Step: AssessmentMSC: NCLEX: Physiological Integrity9.

Upload your study docs or become a

Course Hero member to access this document

Upload your study docs or become a

Course Hero member to access this document

End of preview. Want to read all 606 pages?

Upload your study docs or become a

Course Hero member to access this document

Term
Spring
Professor
MohsenMakhsous
Tags

Newly uploaded documents

Show More

  • Left Quote Icon

    Student Picture

  • Left Quote Icon

    Student Picture

  • Left Quote Icon

    Student Picture