Questions: The nurse prepares a client for the lumbar puncture procedure by which interventions? Review the coagulation laboratory studies. Select all that apply. 1. Review the coagulation laboratory studies. 2. Observe the lower lumbar area for skin infections. 3. Determine whether the client is allergic to iodine or seafood. 4. Check to see the client has a signed consent for the procedure. 5. Explain to the client about assuming a prone position for the procedure.

The nurse prepares a client for the lumbar puncture procedure by which interventions? Review the coagulation laboratory studies. Select all that apply.

1. Review the coagulation laboratory studies.
2. Observe the lower lumbar area for skin infections.
3. Determine whether the client is allergic to iodine or seafood.
4. Check to see the client has a signed consent for the procedure.
5. Explain to the client about assuming a prone position for the procedure.
Transcript text: The nurse prepares a client for the lumbar puncture procedure by which interventions? Review the coagulation laboratory studies. Select all that apply. 1. Review the coagulation laboratory studies. 2. Observe the lower lumbar area for skin infections. 3. Determine whether the client is allergic to iodine or seafood. 4. Check to see the client has a signed consent for the procedure. 5. Explain to the client about assuming a prone position for the procedure.
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Solution

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The answer includes the following interventions:

  1. Review the coagulation laboratory studies.
  2. Observe the lower lumbar area for skin infections.
  3. Determine whether the client is allergic to iodine or seafood.
  4. Check to see the client has a signed consent for the procedure.

Explanation for each option:

  1. Review the coagulation laboratory studies: Correct. It is important to review coagulation studies to ensure the client does not have a bleeding disorder that could increase the risk of complications during the lumbar puncture.

  2. Observe the lower lumbar area for skin infections: Correct. The presence of skin infections in the lumbar area could increase the risk of introducing an infection into the spinal canal during the procedure.

  3. Determine whether the client is allergic to iodine or seafood: Correct. This is important because iodine-based antiseptics are often used to clean the skin before the procedure. An allergy to iodine or seafood (which can indicate an iodine allergy) would require the use of an alternative antiseptic.

  4. Check to see the client has a signed consent for the procedure: Correct. Obtaining informed consent is a standard practice before any invasive procedure to ensure the client understands the risks and benefits and agrees to proceed.

  5. Explain to the client about assuming a prone position for the procedure: Incorrect. For a lumbar puncture, the client is typically positioned in a lateral decubitus (side-lying) position or sitting position, not a prone position.

Summary: The correct interventions for preparing a client for a lumbar puncture procedure are to review coagulation laboratory studies, observe the lower lumbar area for skin infections, determine whether the client is allergic to iodine or seafood, and check to see the client has a signed consent for the procedure.

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