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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. Use simple diagrams to explain the procedure. B. Indicate on a stuffed animal where the procedure will be performed. C. Provide teaching immediately before the procedure. D. Discuss the benefits of the procedure.

Correct Answer is A

Explanation

A. Use simple diagrams to explain the procedure. Children benefit from visual aids to help them understand medical procedures. Using simple diagrams can help the child visualize what will happen during the tonsillectomy in a non-threatening way and make the process less intimidating.

B. Indicate on a stuffed animal where the procedure will be performed. While a stuffed animal might be useful for younger children, a 9-year-old is more likely to benefit from a visual aid that is more aligned with their cognitive and developmental level. Simple diagrams or pictures would be more appropriate for this age group.

C. Provide teaching immediately before the procedure. It is more effective to provide teaching well before the procedure to allow the child time to process and ask questions. Immediate preoperative teaching might lead to increased anxiety and may not allow enough time for the child to fully understand.

D. Discuss the benefits of the procedure. While it is important to acknowledge the purpose of the procedure, focusing on the benefits alone might not address the child's concerns and anxieties about the procedure. Explaining the procedure in a straightforward and understandable manner, without overemphasizing the benefits, is usually more effective in reducing anxiety.

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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.