Taye Alexandra Komolafe

Batch 86 
A lumbar puncture (spinal tap) is performed in your lower back, in the lumbar
region. A needle is placed between two lumbar bones (vertebrae) to extract a
sample of cerebrospinal fluid during a lumbar puncture. This is the fluid that
surrounds and protects your brain and spinal cord from harm.
A lumbar puncture can be used to diagnose serious infections like meningitis, as
well as other central nervous system illnesses such Guillain-Barre syndrome and
multiple sclerosis, and brain or spinal malignancies. A lumbar puncture is
sometimes used to infuse anesthesia or chemotherapeutic medicines into the
cerebrospinal fluid.
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1. What do you say to the client to explain what is meant by the supine position?
It’s basically to lie your back
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2. When Mr. Arnez is allowed out of bed, you evaluate his fall risk and determine
that he will need some assistance. List at least three principles related to safe
movement in and out of bed.
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       PRINCIPLES OF ASSISTING PATIENTS IN and OUT OF BED
 
 Assure the patient that he is not at risk of harm or over-exertion.
 Obtain additional assistance if necessary to aid you in ambulating the
patient.
  When ambulating or moving, support the patient's affected side or
extremities.
 Don't overwork the patient; gradually increase time in the chair and
ambulation.
 Before transferring the patient from the bed, lock all wheelchair or litter
wheels.
 When the footstool is in use, make sure it is stable.
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3. Mr. Arnez has become very weak and confused. It has been determined that he
should not ambulate unassisted. However, he continues to get out of his bed or
chair unassisted. Discuss the first nursing actions you would implement in order
to provide for Mr. Arnez's safety.
 
Falls prevention and harm from falls in hospitalized patients are indicators of
high-quality bedside health care professional care provided to a specific unit or
hospital. 
There are interventions to facilitate the job of trying to prevent falls.
 
 Eliminate clutter in room/house
 Call light in reach
 Maintain personal items in reach at all times
 Educate patient on use of assistive devices
 Place bed in low position with brakes locked
 Use night lights
 Ensure patient has proper footwear (shoes, non-skid socks)
 Assess for mental changes
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