Lumbar puncture nursing

A nurse is assisting with the care of a client immediately following a lumbar puncture. Which of the following actions should the nurse take? (Select all that apply.)

A.  Encourage fluid intake.

B.  Monitor the puncture site for hematoma.

C.  Insert a urinary catheter.

D.  Elevate the client’s head of bed.

E.  Apply a cervical collar to the client.