Chamberlain Nr 325 Exam 2, Nr 325 Exam #2 Questions With Accurate Answers 2024

Lumbar Puncture {Ans: -Healthy: CSF = clear -Position on side in fetal position since they do it between L3 and L4 or L4 and L5, putting in this position opens vertebrae so needle can get in between -Post procedure: lay flat for 4-6 hours, lots of fluid to replace CSF, monitor VS, encourage fluids, check site to make sure it is not leaking CSF (if leaking, will get a massive HA) -Change in mental status: don't do it, could mean increase ICP since can herniate -Patient feels pressure while doing lumbar puncture -Meningitis: will see cloudy, decreased glucose, increased protein since bacteria are eating all the glucose and protein is a biproduct of bacteria, increased WBC's - do gram stain}Hepatic Encephalopathy {Ans: -Cant convert ammonia to urea -Altered LOC all of a sudden - pt. ate a huge hamburger, so all protein they cannot break down -High protein diet causes hepatic encephalopathy -Check ammonia levels (should be 10-80) -Risk for injury - put on fall precautions -Have asterixis -Do frequent neuro checks, look at F and E, restrict protein, assess ammonia levels -Give lactulose -Binds with ammonia to excrete out -Will have soft, mushy, clay colored stools -