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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?

Semi-Fowler’s.

Lateral.

Supine.

Prone.

Answer and Explanation

The Correct Answer is B

The correct answer is Choice B.

Choice A rationale

Semi-Fowler’s position is not suitable for a lumbar puncture as it does not provide the necessary spinal flexion.

Choice B rationale

The lateral position is ideal for a lumbar puncture as it allows for proper spinal alignment and access to the lumbar region.

Choice C rationale

Supine position is not appropriate for a lumbar puncture as it does not provide the necessary spinal flexion.

Choice D rationale

Prone position is not suitable for a lumbar puncture as it does not allow for proper access to the lumbar region.

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Correct Answer is C

Explanation

The correct answer is Choice C.

Choice A rationale

Administering vaccines prior to discharge is not recommended for a child with neutropenia because their immune system is compromised. Vaccines, especially live vaccines, can pose a risk of infection in immunocompromised individuals.

Choice B rationale

Obtaining the child’s rectal temperature once daily is not advisable for a child with neutropenia. Rectal thermometers can cause mucosal injury and increase the risk of infection in neutropenic patients.

Choice C rationale

Avoiding raw fruits and vegetables in the child’s diet is crucial for a child with neutropenia. Raw fruits and vegetables can harbor bacteria and other pathogens that can cause infections in immunocompromised individuals.

Choice D rationale

Bathing the child every other day is not sufficient for maintaining hygiene in a child with neutropenia. Daily bathing is recommended to reduce the risk of infection by removing potential pathogens from the skin.

A. Antistreptolysin O (ASO) titer. B. Partial thromboplastin time (PTT). C. Blood urea nitrogen (BUN). D. Erythrocyte sedimentation rate (ESR). E. C-reactive protein (CRP).

Correct Answer is ["A","D","E"]

Explanation

The correct answers are Choice A, Choice D, and Choice E.

Choice A rationale

Antistreptolysin O (ASO) titer is a blood test used to detect antibodies against streptolysin O, a substance produced by group A Streptococcus bacteria. Elevated ASO titers indicate a recent streptococcal infection, which is a common precursor to rheumatic fever.

Choice B rationale

Partial thromboplastin time (PTT) measures the time it takes for blood to clot and is used to evaluate bleeding disorders. It is not relevant for diagnosing rheumatic fever, which is an inflammatory disease.

Choice C rationale

Blood urea nitrogen (BUN) measures kidney function and is not used to diagnose rheumatic fever. Rheumatic fever is diagnosed based on evidence of a preceding streptococcal infection and clinical criteria.

Choice D rationale

Erythrocyte sedimentation rate (ESR) is a blood test that measures inflammation in the body. Elevated ESR levels are one of the minor criteria for diagnosing rheumatic fever, indicating the presence of inflammation.

Choice E rationale

C-reactive protein (CRP) is another marker of inflammation. Elevated CRP levels are also one of the minor criteria for diagnosing rheumatic fever, reflecting the inflammatory response in the body.

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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

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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?