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A pediatrician has evaluated the child and has written new prescriptions.

The nurse is preparing to assist with a lumbar puncture. Which of the following actions should the nurse take? Select all that apply.

Apply pressure to the puncture site following the procedure.

Limit the child's fluid intake following the procedure.

Position the child in a prone position during the procedure.

Ensure the guardian has signed the consent form prior to the procedure.

Ensure the child voids prior to the procedure.

Insert an indwelling urinary catheter during the procedure.

Monitor for paresthesia and tingling in extremities following the procedure.

Answer and Explanation

Correct Answer : A,D,E,G

A. Apply pressure to the puncture site following the procedure. Applying pressure helps prevent cerebrospinal fluid (CSF) leakage and reduces the risk of complications.

B. Limit the child's fluid intake following the procedure. Fluids should be encouraged to help replenish lost CSF and reduce the risk of post-lumbar puncture headache.

C. Position the child in a prone position during the procedure. The correct positioning for a lumbar puncture is the side-lying fetal position or sitting with the back curved forward to widen the space between the vertebrae.

D. Ensure the guardian has signed the consent form prior to the procedure. A lumbar puncture is an invasive procedure, so informed consent is required before proceeding.

E. Ensure the child voids prior to the procedure. Having the child empty their bladder before the procedure helps prevent discomfort and reduces the risk of bladder distention during positioning.

F. Insert an indwelling urinary catheter during the procedure. A urinary catheter is not necessary for a lumbar puncture unless there is another medical indication.

G. Monitor for paresthesia and tingling in extremities following the procedure. Paresthesia or tingling could indicate nerve irritation or injury, which requires prompt assessment and intervention.

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Free Nursing Study Resources

Correct Answer is A

Explanation

A. 1 cup raw broccoli . Broccoli is a good non-dairy source of calcium, making it suitable for a child with lactose intolerance.
B. One slice white bread. While some breads are fortified with calcium, the amount is typically lower than in broccoli.
C. One poached egg. Eggs contain minimal calcium and are not a significant source.
D. 2 tbsp peanut butter. Peanut butter provides protein and healthy fats, but it is not a rich source of calcium.

A. Avoid giving the child live virus vaccines. B. Weigh the child every other day. C. Ensure that the child sleeps in an air-conditioned room. D. Consolidate activities to promote the child's rest.

Correct Answer is D

Explanation

A. Avoid giving the child live virus vaccines. Children with heart failure can receive live vaccines unless they are immunocompromised (e.g., from immunosuppressive therapy).
B. Weigh the child every other day. Daily weights are necessary to monitor fluid retention, a key concern in heart failure.
C. Ensure that the child sleeps in an air-conditioned room. While a cool environment may be comfortable, this is not a priority intervention for heart failure management.
D. Consolidate activities to promote the child's rest. Children with heart failure experience fatigue easily due to reduced cardiac output. Grouping activities together minimizes energy expenditure and promotes adequate rest.

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A pediatrician has evaluated the child and has written new prescriptions. The nurse is preparing to assist with a lumbar puncture. Which of the following actions should the nurse take? Select all that apply.

Nursing Test Bank

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A pediatrician has evaluated the child and has written new prescriptions.

The nurse is preparing to assist with a lumbar puncture. Which of the following actions should the nurse take? Select all that apply.