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?

Nuchal rigidity when standing

Double vision

Headache

Pain in the posterior iliac crest

Answer and Explanation

The Correct Answer is C

Rationale:

A. Nuchal rigidity when standing may indicate meningitis, but it is not a common complication of lumbar puncture itself.

B. Double vision is not a typical complication of lumbar puncture and suggests other neurological issues.

C. Headache is a common complication of lumbar puncture, occurring due to leakage of cerebrospinal fluid (CSF) from the puncture site. It is often described as positional, worsening when the patient sits or stands upright and improving when lying down.

D. Pain in the posterior iliac crest is not a typical complication of lumbar puncture and may indicate musculoskeletal issues unrelated to the procedure.

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Correct Answer is A

Explanation

Rationale:

A. Applying bactericidal ointment to lesions helps treat impetigo by killing the bacteria causing the infection.

B. Acyclovir is used to treat viral infections such as herpes simplex virus, not bacterial infections like impetigo.

C. Soaking hairbrushes in boiling water is not necessary for treating impetigo.

D. Soft toys do not need to be sealed in a plastic bag for treating impetigo.

A. "Your child will have chest x-rays periodically to monitor for disease reactivation." B. Your child might need to have their tonsils and adenoids removed." C. "Your child should take pancreatic enzymes with meals and snacks." D. "Your child will take isoniazid for 9 months."

Correct Answer is C

Explanation

Rationale:

A. Periodic chest x-rays may be done to monitor lung function in cystic fibrosis, but it's not directly related to home care following discharge.

B. Tonsillectomy and adenoidectomy are not routine procedures for cystic fibrosis management unless there are specific indications beyond the disease itself.

C. Pancreatic enzyme replacement therapy with meals and snacks is essential for children with cystic fibrosis to aid in digestion and nutrient absorption due to pancreatic insufficiency, so this statement is crucial for home care.

D. Isoniazid is an antibiotic used to treat tuberculosis (TB), not cystic fibrosis, so this statement is incorrect and not relevant to cystic fibrosis home care.

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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?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is providing teaching to the parents of a child who has impetigo. Which of the following instructions should the nurse include in the teaching?

Correct Answer is A

Explanation

A nurse is teaching the parents of a child who has cystic fibrosis about home care following discharge. Which of the following statements should the nurse include?

Correct Answer is C

Explanation

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