A nurse is caring for a child who has had a lumbar puncture. The nurse should monitor the child for which of the following complications?
Double vision
Nuchal rigidity when standing
Pain in the posterior iliac crest
Headache
The Correct Answer is D
A. Double vision: Double vision is not a common complication of a lumbar puncture. Complications typically involve symptoms related to cerebrospinal fluid (CSF) leakage or infection.
B. Nuchal rigidity when standing: Nuchal rigidity (stiff neck) can indicate meningitis, but it is not specifically a complication of a lumbar puncture. Nuchal rigidity is more likely to be associated with an underlying condition that prompted the lumbar puncture rather than the procedure itself.
C. Pain in the posterior iliac crest: Pain at the posterior iliac crest is not typical after a lumbar puncture, as the procedure is performed in the lower back at the lumbar spine region.
D. Headache: Headache is a common complication following a lumbar puncture, often due to a CSF leak. The headache typically worsens when the patient is in an upright position and improves when lying down.
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Related Questions
Correct Answer is C
Explanation
A. Tea tree: Tea tree oil is known for its antimicrobial properties and is commonly used for skin issues such as acne or fungal infections. It is not typically recommended for relaxation purposes.
B. Eucalyptus: Eucalyptus oil is often used for its respiratory benefits, such as easing congestion and colds. It is stimulating rather than calming and is not commonly recommended for relaxation.
C. Lavender: Lavender oil is widely recognized for its calming and relaxing properties. It is often used to help reduce anxiety, promote relaxation, and improve sleep quality.
D. Jasmine: Jasmine oil is known for its uplifting and energizing properties rather than relaxing. While it has a pleasant scent and can have mood-enhancing effects, it is not specifically recommended for relaxation.
Correct Answer is D
Explanation
A. Store opened vials of insulin for up to 60 days. Incorrect. Opened vials of insulin should typically be stored at room temperature and used within 28 days. Storing insulin for up to 60 days is not recommended as it may lose potency.
B. Monitor capillary blood glucose daily. Incorrect. Capillary blood glucose should be monitored multiple times a day (e.g., before meals and at bedtime) to manage type 1 diabetes effectively. Daily monitoring is insufficient for proper diabetes management.
C. Follow up with physical therapy. Incorrect. While exercise is important, a routine follow-up with physical therapy is not a standard recommendation for managing type 1 diabetes unless there are specific physical issues that need addressing.
D. Consult with a nutritionist. Correct. A nutritionist can provide valuable education on carbohydrate counting, meal planning, and managing blood sugar levels through diet. This is essential for adolescents newly diagnosed with type 1 diabetes to help them manage their condition effectively.
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