💊 NCLEX-RN Exam Prep

Following a lumbar puncture, a patient reports a sudden, severe headache that worsens when sitting upright and improves when lying flat. Which finding requires immediate notification of the healthcare provider?

A A small amount of clear fluid leakage at the puncture site.
B The patient's blood pressure decreases from 120/80 to 110/70 mmHg.
C The patient complains of numbness and tingling in the leg opposite the puncture site.
D Temperature elevation to 38.5°C (101.3°F) and stiff neck.

✓ Correct Answer: Option D

Headache is common post-lumbar puncture. However, fever and nuchal rigidity (stiff neck) are signs of meningitis, a serious complication requiring immediate medical evaluation and intervention. Numbness/tingling would be ipsilateral, not contralateral.

💡 Why is D) the correct answer?

The correct answer to the question "Following a lumbar puncture, a patient reports a sudden, severe headache that worsens when sitting upright and improves when lying flat. Which finding requires immediate notification of the healthcare provider?" is Option D: Temperature elevation to 38.5°C (101.3°F) and stiff neck..

The other options — A) A small amount of clear fluid leakage at the puncture site., B) The patient's blood pressure decreases from 120/80 to 110/70 mmHg., C) The patient complains of numbness and tingling in the leg opposite the puncture site. — are incorrect for this NCLEX-RN Exam Prep question. As explained above: Headache is common post-lumbar puncture. However, fever and nuchal rigidity (stiff neck) are signs of meningitis, a serious complication requiring immediate medical evaluation and intervention. Numbn…

📚 About This NCLEX-RN Exam Prep Practice Question

This 4-level NCLEX-RN Exam Prep question from the Safe & Effective Care topic is part of BrainForge Quiz's free exam preparation library. Each question includes the correct answer and a detailed explanation to help you understand the underlying concept, not just memorize the answer.

How to use this page: Read the question above, consider all four options (A through D), then check the highlighted correct answer and explanation. For active timed practice, start a free NCLEX-RN Exam Prep practice test or use flashcards for spaced repetition review.

Related NCLEX-RN Exam Prep Questions