Which of the following is a procedure which is not used to remove CSF?

SGPGI Nursing Officer-2022

Medical Surgical Nursing

Easy

Appeared in: SGPGI Nursing Officer-2022

Explanation

Acupuncture is a therapeutic intervention from traditional Chinese medicine involving the insertion of fine needles into specific body points.
Its primary goals are to relieve pain, reduce stress, and treat various health conditions by stimulating nerves and muscles.
This procedure does not involve entering the subarachnoid space and is fundamentally different from diagnostic fluid collection.
Therefore, acupuncture is not a method for removing cerebrospinal fluid (CSF).

Option B: A lumbar puncture is the standard medical procedure specifically designed to access the subarachnoid space and withdraw cerebrospinal fluid for analysis.
Option C: A 'spinal tap' is the common, interchangeable term for a lumbar puncture. It describes the same procedure of removing CSF from the spinal canal.
Option D: This option is incorrect because two of the other options, lumbar puncture and spinal tap, are indeed procedures used to remove CSF.

Clinical Relevance

Nursing practice connection: Knowing Identification of procedures for cerebrospinal fluid (CSF) removal helps nurses interpret findings accurately and avoid errors in routine assessment, medication administration, and patient teaching.
Nurses play a critical role in preparing the patient for a lumbar puncture, assisting during the procedure, and providing post-procedure care.
A key nursing responsibility is monitoring for complications, the most common of which is a post-dural puncture headache (PDPH). This headache is typically postural, worsening when upright and improving when lying down.
Patient education is vital. The nurse must explain the procedure, the need to remain still, and post-procedure instructions like lying flat and increasing fluid intake to prevent complications.

How to Approach the Question

First, carefully read the question and identify the negative keyword 'NOT'. This means you are looking for the option that does not fit with the others.
Analyze the options provided. You have 'Acupuncture', 'Lumber puncture' (a misspelling of Lumbar), and 'Spinal tap'.
Recall or deduce the definitions of each term. Recognize that 'Lumbar puncture' and 'Spinal tap' are synonymous terms for the same medical procedure used to collect CSF, as shown in the image.
Consider 'Acupuncture'. This is a well-known alternative therapy that uses needles for pain and symptom management, not for fluid extraction from the central nervous system.
Since lumbar puncture and spinal tap ARE used to remove CSF, they are incorrect answers to this 'NOT' question.
Therefore, 'Acupuncture' is the only procedure listed that is not used to remove CSF, making it the correct answer.

Concept Tested & Keywords

Concept Tested: Identification of procedures for cerebrospinal fluid (CSF) removal.
Stem keywords: procedure, not used, remove CSF
Lead-in keywords: not
Negative lead-in flag: The question asks for the procedure that is NOT used, requiring careful elimination of the correct procedures.

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