The nurse observes a practical nurse (PN) placing a client on the right side with the left leg bent in preparation for a lumbar puncture. Which action should the nurse implement?
Explanation & Rationale
Rationale: A. Arrange for an unlicensed assistive personnel to assist the PN during the procedure: The issue is not lack of assistance, but incorrect positioning. Adding support staff doesn’t correct the improper technique for lumbar puncture preparation. B. Acknowledge that the PN has positioned the client safely and correctly: For a lumbar puncture, the client should be in a lateral recumbent position with knees on both legs, not just the left, pulled up to the chest and the neck flexed. C. Assume care of the client and assign the PN to the care of a different client: This approach is punitive and misses a teaching opportunity. It’s more effective to correct the error and provide guidance for future practice. D. Demonstrate to the PN how to position the client more effectively for the procedure: This promotes safe care while supporting the PN’s learning. Demonstrating the correct positioning ensures immediate correction and improves future practice.