NEUROLOGY
SURGERY
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Question
[CLICK ON ANY CHOICE TO KNOW THE RIGHT ANSWER]
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A patient had a lumbar puncture 3 days ago in the outpatient clinic and calls the nurse reporting a throbbing headache. Which education will the nurse provide to the patient regarding relief of the discomfort? (Select all that apply.)
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Limit the amount of fluid to decrease cerebral edema.hrs 1
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b. Force fluids (unless contraindicated).
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c. Get plenty of bed rest.
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d. Take some over-the-counter analgesics.
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e. Walk around.
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Explanation:
Detailed explanation-1: -The exact pathophysiology of headache after lumbar puncture is unclear. However, it is most probably related to the “hole” in the left dura after the needle has been withdrawn, 12 resulting in persistent leak of CSF from the subarachnoid space. This leakage results in a fall in intracranial CSF volume and CSF pressure.
Detailed explanation-2: -If you experience a headache after a lumbar puncture, tell your doctor immediately as he or she may prescribe oral painkillers. Often, the headache will resolve on its own; resting, staying hydrated, and having drinks with caffeine or caffeine supplements can help relieve the pain.
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