img-download-app
img-download-app

A nurse is assisting the physician with a lumbar puncture on a patient suspected of having a CNS infection. During the procedure, the nurse notices that patient is experiencing cold, clammy skin and an increased pulse rate. The nurse should:

Explanation

•Lumbar punctures place the patient at high risk for complications and adverse reactions. Any reactions or complications should be reported to the physician.

•Taking deep breaths or administering analgesics will not treat the complication.

Visit our website for other NCLEX topics now!
Related questions
A patient with acute chest pain, diaphoresis, and severe edema comes into the emergency room. The nurse suspects heart failure related to a myocardial infarction. Which of the following labs are indicated?
A patient has an arterial blood gas done in the ER: pH 7.51, PCO2 49, PO2 85, HCO3 35. Which of the following describes this ABG?
A diabetic female has the following lab results: Fasting glucose of 218, creatinine of 0.8, Potassium of 4.1, Hemoglobin of 8, CO2 of 41. Which result is critical and should be reported to the physician immediately?
While educating a patient on lifestyle changes to decrease total cholesterol, the nurse tells the patient that the goal for total cholesterol is less than:
The nurse is caring for a patient with acute renal failure related to hypoperfusion. When reviewing the patient's creatinine levels, the nurse would conclude that normal kidney function has returned with a creatinine level of:
The nurse is reviewing the white blood cell differential of a patient. Given the following results, what type of infection is most likely present?
Neutrophils, 50%
Lymphocytes, 45%
Monocytes, 2%
Eosinophils, 2%
Basophils, 1%
A client with type 1 diabetes is in the ER after being found unconscious. Upon assessment, the client's breath was noted to be fruity.  Which of the following ABG results would the nurse expect?
The nurse is caring for a patient with cirrhosis and muscle wasting due to nutritional deficiency. Once the patient has improved his nutritional status, the nurse would expect a normal serum protein level of:
The nurse is caring for a patient with congestive heart failure, hypotension, and endocarditis. Which of the following lab results should the nurse report to the physician?
The nurse is caring for a male patient with a hemoglobin level of 12.3 g/dL. The nurse would expect this hemoglobin level to be caused by:
The nurse is caring for a client with end stage kidney disease (ESKD) on dialysis. The client asks why milk, chocolate milk, and soft drinks are not allowed in the diet order. The nurse explains that these foods should be avoided to decrease the risk of which conditions?
The nurse checks the blood glucose of an unconscious diabetic patient. The nurse would consider the patient hypoglycemic and administer intravenous dextrose if the blood glucose is under:
The nurse is reviewing the lab results of a patient taking warfarin for atrial fibrillation. Which of the following INR values would the nurse consider therapeutic for this patient?
The nurse draws a blood sample on an anxious patient that is hyperventilating. The arterial blood gas will most likely show:
The nurse is giving discharge instructions to a patient with diabetes mellitus regarding glycated hemoglobin (HbA1c). The nurse knows that the patient understands the teachings if he states:
A patient in the emergency room was admitted due to hypertension with a blood pressure of 160/100 mmHg. Blood test shows potassium level is at 5.5mEq/L, calcium is 9.2 mg/dl, sodium is 139 and ECG results shows irregular cardiac rhythm. What imbalance is the patient experiencing?
The nurse is assessing a patient after returning from surgery. After reviewing the patient's lab results, the nurse should notify the physician of:
A right shift of the oxygen-hemoglobin dissociation curve favors oxygen release to tissues. What causes this right shift to occur?
A patient who has undergone neck surgery for removal of the parathyroid gland states that he is experiencing muscle twitching and spasms. The physician orders blood tests to confirm the diagnosis. The nurse expects that:

A patient is at the clinic for cholesterol testing. Given the following results, which value is abnormal?
Total cholesterol, 180 mg/dL
HDL, 35 mg/dL
LDL, 120 mg/dL
Triglycerides, 120 mg/dL