Progressive Care Nursing Certification (PCCN) Practice Exam

When a patient with abdominal pain requires a lumbar puncture, what should the nurse prioritize?

1. Reassuring the patient the procedure will be quick

2. Continuing with the lumbar puncture despite pain

3. Investigating the abdominal pain before proceeding

4. Preparing the patient for the procedure only

The correct answer is: Investigating the abdominal pain before proceeding

When considering the prioritization of actions for a patient with abdominal pain who requires a lumbar puncture, it is essential to first assess and understand the patient's current condition, including the cause of the abdominal pain. Investigating the abdominal pain is crucial because it may indicate a serious underlying issue that could affect the decision to perform the lumbar puncture safely. Assessing the abdominal pain can lead to important insights. For instance, if the pain is due to conditions such as acute appendicitis or pancreatitis, proceeding with a lumbar puncture might pose risks, such as exacerbating the patient's condition or increasing the risk of complications. Effective management of the patient's overall health status ensures that all necessary precautions are taken before undergoing an invasive procedure. While providing reassurance about the procedure may help alleviate anxiety, and preparing the patient is certainly part of the process, these actions should not take precedence over understanding the underlying cause of their abdominal pain. Continuing with the lumbar puncture without evaluating the abdominal discomfort first could compromise the patient's safety and well-being, making it critical to investigate any potential concerns prior to the procedure.