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
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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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
Rationale:
A. Neck vein distention is not typically associated with acute acetylsalicylic acid poisoning.
B. Polyuria is not a common symptom of acute acetylsalicylic acid poisoning.
C. Jaundice is not typically associated with acute acetylsalicylic acid poisoning.
D. Hyperpyrexia (extremely high fever) is a potential complication of acute acetylsalicylic acid poisoning due to its effects on the central nervous system and metabolism.
Correct Answer is A
Explanation
- A) Checking clothing for loose buttons is important because toddlers can easily remove and swallow small objects, which can lead to choking hazards.
- B) Adjusting the water heater temperature to 54° C (129.2° F) is not recommended as it poses a risk of scalding. Safe water temperatures for households with toddlers should be at or below 49° C (120° F).
- C) Placing screens on all windows is a crucial safety measure to prevent toddlers from falling out of open windows, which can lead to serious injuries or fatalities.
- D) Providing balloons for play is not advisable as uninflated or broken balloons can be a choking hazard for toddlers. It is one of the leading causes of choking deaths in children.
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