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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?

A.

Supine

B.

Semi-Fowler's

C.

Lateral

D.

Prone

Answer and Explanation

The Correct Answer is C

A.    Placing the child in a supine position is not the appropriate position for a lumbar puncture. The child should be in a lateral position.

B.    A semi-Fowler's position is not the appropriate position for a lumbar puncture. The child should be in a lateral position.
 
C.    Correct. Placing the child in a lateral position allows for better access to the spinal canal, which is necessary for a lumbar puncture.

D.    Placing the child in a prone position is not the appropriate position for a lumbar puncture. The child should be in a lateral position.


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Related Questions

Correct Answer is ["2.2"]

Explanation

To calculate the dose of ondansetron for a child who is receiving chemotherapy, the nurse needs to use the following formula:

Dose (mL) = (Dose ordered in mg / Dose available in mg) x Volume available in mL

In this case, the dose ordered in mg is 0.15 mg/kg x 29.4 kg, which equals 4.41 mg. The dose available in mg is 4 mg, and the volume available in mL is 2 mL. Therefore, the dose in mL is:

Dose (mL) = (4.41 mg / 4 mg) x 2 mL Dose (mL) = 2.205 mL

The nurse should round the answer to the nearest tenth, so the final answer is 2.2 mL. The nurse should administer 2.2 mL of ondansetron IV to the child who is receiving chemotherapy.

Correct Answer is B

Explanation

A. Allowing the child to watch an animated movie right before bedtime can be stimulating and may not be conducive to a calm and restful sleep environment.

B. This is correct. Allowing the child to sleep in the parent's bed may reinforce the night terrors. It's important for the child to learn to self-soothe and feel secure in their own sleeping environment.

C. It is not recommended to wake a child during a night terror. This can be disorienting and may not be effective in preventing future night terrors.

D. Waiting until the child indicates tiredness before putting them to bed may result in over-tiredness, which can sometimes contribute to night terrors. Establishing a consistent bedtime routine can be beneficial.

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