A nurse is preparing a child for a lumbar puncture. In which of the following positions should the child be placed for the procedure?

Prone

Lateral

Semi-Fowler's

Supine

Answer and Explanation

The Correct Answer is B

A.   The prone position is not suitable for a lumbar puncture.
B.   The lateral position, with knees drawn up to the chest, is the most common position for a lumbar puncture. It helps widen the spaces between the vertebrae, making it easier to insert the needle.
C.   Semi-Fowler's position is not appropriate for a lumbar puncture.
D.   The supine position is not suitable for a lumbar puncture.

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Correct Answer is D

Explanation

A. The halo vest immobilizes the cervical spine completely. Any movement that might disturb the alignment of the spine is contraindicated. Using a turning sheet could potentially cause movement and damage the spine.
B. Tightening the screws without medical direction can be harmful. The screws should be checked regularly by healthcare professionals, and adjustments made as needed.
C. The entire purpose of the halo vest is to immobilize the neck. Any movement of the neck could disrupt the healing process and cause further injury.
D. Pin site care is crucial to prevent infection. The nurse should assess the pin sites regularly for signs of infection, such as redness, swelling, drainage, or increased pain.

A. Increase fluid intake to 2 L/day. B. Weigh the child once per day. C. Position the child supine at bed time. D. Limit calorie intake to 45 cal/kg/day.

Correct Answer is B

Explanation

A. In nephrotic syndrome, there is significant protein loss leading to edema. Increasing fluid intake would exacerbate the problem. Fluid restriction is often necessary.
B. Daily weight monitoring is crucial in nephrotic syndrome to assess fluid retention and the effectiveness of treatment. Weight gain indicates fluid accumulation.
C. Elevating the child's head and legs can help reduce edema. Supine positioning might worsen it.
D. Adequate nutrition is essential for healing and recovery. Restricting calories is not necessary and could be harmful.

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A nurse is preparing a child for a lumbar puncture. In which of the following positions should the child be placed for the procedure?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Correct Answer is D

Explanation

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Correct Answer is B

Explanation

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