Section: NCLEX

40) The nurse is observing a staff member assist the physician with a lumbar puncture. The nurse would judge that the care was appropriate if the nurse observed which of the following behaviors?

1. The nurse assists the patient into a fetal position.
2. The nurse instructs the patient to maintain a full bladder.
3. The nurse should explain to the patient that he won’t be able to feel anything during the procedure.
4. The nurse instructs the patient to hyperventilate.

The client uses his/her arms to their hold knees in place, head bent forward. This increases space between their vertebrae.