Answer: The next most appropriate step would be a LUMBAR PUNCTURE.
Explanation:
A LUMBAR PUNCTURE is a medical procedure that is usually carried out by a trained health personnel. It is a procedure that is carried out in the lumbar region of the spinal cord to access and obtain the cerebrospinal fluid which is used for further diagnosis of an underlying disease or illness.
A LUMBAR PUNCTURE is often adviced when the symptoms of a disease is related to the central nervous system. From the symptoms observed from the 19-year-old woman at the emergency department which includes:
--> generalized headache which is increasing in intensity,
--> blurred vision,
--> intermittent diplopia,
--> vague dizziness.
--> bilateral papilledema and
--> normal MRI of the brain.
Since the MRI of the brain is normal, the most appropriate step to be taken by the health care provider is a lumbar puncture which enables a direct access to the cerebrospinal fluid. This would help to rule out an elevated intracranial pressure which may be the cause of the generalized headache which is increasing in intensity.
Answer:
You can ask from an experienced doctor or someone good in that field or you can search the internet for it
Options for the question have not been given. They are as follows:
a) "Would you like me to call your parents?"
b) "I am sorry this is happening to you."
c) "You have a lot to live for."
d) "The voices are not real."
Answer:
b) "I am sorry this is happening to you."
Explanation:
The client is having hallucinations of voices telling him that he is worthless. He is suffering from low confidence and does not feel good enough even though he has achieved significantly in life. He also has history of self harm. So, the client has started to shut out the world and be in his own thoughts.
In this case, before approaching any treatment, it is necessary for the nurse to make the client comfortable. She should be empathetic and show genuine concern which will make the client trust her more. If the nurse just abruptly tells the client that his hallucination is not real or that she wants to inform his parents, he might become even more reclusive. He might even refuse to participate in the future treatment.
So instead of forcing him to understand his condition or telling him to be positive, it is first important for the nurse to build a healthy connection with him. Thus, option b) is correct.
