An hour after a client has a lumbar puncture (LP), the client reports a headache. What action does the nurse take first?

Question

Quizplus · Accepted Answer

A complication of LP is subarachnoid hemorrhage, characterized by photophobia, headache, neck stiffness, alterations of LOC, and vital sign changes. The nurse conducts further focused assessments for this complication, which includes assessing for a stiff neck. The client does not need Droplet Precautions. The nurse may or may not need to call the RRT, but first must obtain further assessment data. Pain medication can be given later if needed.

An Hour After a Client Has a Lumbar Puncture (LP)