The nurse is caring for a client who has just had a lumbar puncture. W

The nurse is caring for a client who has just had a lumbar puncture. What should the nurse document about this client’s procedure?

1. Date and time performed
2. The physician’s name
3. The client’s ability to void after the procedure
4. The color, character, and amount of cerebrospinal fluid withdrawn
5. The client’s status after the procedure

ANSWER

Correct Answer: 1, 2, 4, 5
Rationale 1: When documenting after a lumbar procedure, the nurse should include the date and time the procedure was performed.
Rationale 2: When documenting after a lumbar procedure, the nurse should include the physician’s name.
Rationale 3: The nurse does not need to assess the client’s ability to void after the procedure, as the lumbar puncture is done through the spinal column and not the abdominal region.
Rationale 4: When documenting after a lumbar procedure, the nurse should include the color, character, and amount of cerebrospinal fluid withdrawn.
Rationale 5: When documenting after a lumbar procedure, the nurse should include the client’s status after the procedure.