A client with a history of headaches is scheduled for a lumbar puncture to assess the cerebrospinal fluid pressure. The nurse is preparing the client for the procedure. Which statement by the client indicates a need for further teaching by the nurse?

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11ecbb05_ca23_89f7_b433_cf8153d80283_MD0009_00 Cerebrospinal fluid (CSF) is assessed for color, contents, and pressure. Normal CSF is clear and colorless, and contains a little protein, a little glucose, minimal white blood cells, no red blood cells, and no microorganisms. Normal CSF pressure is 60-150 mm H₂O. Abnormal CSF pressure or contents can help diagnose the cause of headaches in complicated cases. CSF is collected via lumbar puncture or ventriculostomy. Prior to a lumbar puncture, clients are instructed as follows: Empty the bladder before the procedure (Option B) The procedure can be performed in the lateral recumbent position or sitting upright. These positions help widen the space between the vertebrae and allow easier insertion of the needle (Option C). A sterile needle will be inserted between the L3/4 or L4/5 interspace (Option D) Pain may be felt radiating down the leg, but it should be temporary (Option A) After the procedure, instruct the client as follows: Lie flat with no pillow for at least 4 hours to reduce the chance of spinal fluid leak and resultant headache Increase fluid intake for at least 24 hours to prevent dehydration Educational objective: Lumbar puncture can be performed with clients in the sitting position or positioned on the left side with the knees drawn up (fetal position).

A Client with a History of Headaches Is Scheduled for a Lumbar