A Client in the Intensive Care Unit Is Scheduled for a Lumbar

question 41

Multiple Choice

A client in the intensive care unit is scheduled for a lumbar puncture (LP) today.On assessment,the nurse finds the client breathing irregularly with one pupil fixed and dilated.What action by the nurse is best?

• A) Ensure that informed consent is on the chart.
• B) Document these findings in the client's record.
• C) Give the prescribed preprocedure sedation.
• D) Notify the provider of the findings immediately.

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Definitions:

First Messenger

Chemical signal, such as a peptide hormone, that binds to a plasma membrane receptor protein and alters the metabolism of a cell because a second messenger is activated.

Second Messenger

Chemical signal, such as cyclic AMP, that causes the cell to respond to the first messenger—a hormone bound to a plasma membrane receptor protein.

Peptide Hormone

Type of hormone that is a protein, a peptide, a glycoprotein, or is derived from an amino acid.

Hypothalamus

A region of the brain that controls a variety of functions including temperature regulation, hunger, and thirst, as well as hormones.