💊 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.

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