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

Supine

Semi-Fowler's

Answer and Explanation

The Correct Answer is B

A.   Placing the child prone (face-down) is not appropriate for a lumbar puncture as it would make access to the lumbar spine difficult.
B.   Placing the child in a lateral position (lying on their side with knees drawn up towards the chest) allows for proper positioning of the spine for the lumbar puncture procedure.
C.   Placing the child supine (lying on their back) is not appropriate for a lumbar puncture as it does not provide the necessary spinal alignment for the procedure.
D.   Placing the child in a semi-Fowler's position (with the head of the bed elevated at a 45-degree angle) is not appropriate for a lumbar puncture as it does not facilitate access to the lumbar spine.

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Correct Answer is B

Explanation

A. Toddlers thrive on routines and consistency, which provide them with security and predictability.
B. Toddlers are in a stage of development where they assert their independence and autonomy by saying "no" or "mine" to almost everything. This is a normal and healthy behavior that reflects their growing sense of self and identity. The nurse should explain to the guardian that this behavior is not meant to be defiant or disrespectful, but rather a way of exploring their environment and expressing their preferences.
C. Toddlers are typically emotionally labile, meaning they can experience rapid changes in mood and emotions.
D. Toddlers may display increased independence rather than increased dependency as they strive to assert their autonomy.

A. Warm the goat's milk before feeding. B. Switch to soy milk. C. Offer commercially prepared formula. D. Reinitiate breast feeding.

Correct Answer is C

Explanation

A. Warming goat's milk before feeding does not address the issue of nutritional adequacy or suitability for the infant's age.
B. Soy milk may not be appropriate for a 10-month-old infant and may not adequately address nutritional needs.
C. Correct. Commercially prepared formula is recommended for infants who are not breastfeeding and provides essential nutrients necessary for growth and development.
D. Reinitiating breastfeeding may not be feasible or appropriate in this situation if the parent has chosen to feed the infant goat milk.

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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 C

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