A nurse is assisting with the care of a child who has spina bifida.
Which of the following precautions should the nurse take while caring for this child?
Latex precautions.
Neutropenic precautions.
Seizure precautions.
Contact precautions.
The Correct Answer is A
Choice A rationale
Children with spina bifida often are allergic to latex, which can be found in medical gloves and things such as bandages, balloons, and pacifiers. Therefore, latex precautions should be taken while caring for a child with spina bifida.
Choice B rationale
Neutropenic precautions are typically used for patients with a low white blood cell count (neutropenia), which makes them more susceptible to infections. There is no specific association between spina bifida and neutropenia, so these precautions would not typically be necessary unless the child has a co-existing condition that causes neutropenia.
Choice C rationale
Seizure precautions are typically used for patients with a seizure disorder, such as epilepsy. While some individuals with spina bifida may also have a seizure disorder, it is not a common feature of the condition. Therefore, seizure precautions would not typically be necessary unless the child has a co-existing seizure disorder.
Choice D rationale
Contact precautions are typically used for patients who have an infection that can be spread by direct contact. There is no specific association between spina bifida and infectious diseases that would require contact precautions, so these precautions would not typically be necessary unless the child has a co-existing infectious disease.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Choice A rationale
Pulling the earlobe up and back is the correct method for administering ear drops in adults, not in children.
Choice B rationale
Pulling the earlobe down and out is not the correct method for administering ear drops.
Choice C rationale
For children, the earlobe should be pulled down and back to straighten the ear canal. The medication can then be dropped into the ear canal, and the ear should remain facing up for about 1 or 2 minutes to allow the medication to come into contact with the infection.
Choice D rationale
Pulling the earlobe up and out is not the correct method for administering ear drops.
Correct Answer is B
Explanation
Choice A rationale
While assistance may be needed to comfort the toddler during the procedure, holding the toddler in a prone position is not the recommended position for a lumbar puncture.
Choice B rationale
Placing the toddler in a side-lying, knee-chest position is the correct position for a lumbar puncture. This position helps to open up the spaces between the vertebrae, making it easier to access the spinal canal.
Choice C rationale
Restraining the toddler for 1 hour after the procedure is not necessary and could cause distress to the toddler.
Choice D rationale
While swaddling the toddler in a warm blanket may provide comfort, it is not a necessary step in the administration of a lumbar puncture.
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