A nurse is assisting the provider with a lumbar puncture for a client who has manifestations of meningitis.
Into which of the following positions should the nurse assist the client?
Head flexed to the chest and her knees pulled up to the abdomen
Arms raised above her head with her legs elevated on pillows
Prone with her arms at her side and her legs extended
Trendelenburg with her body in Sims' position
The Correct Answer is A
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Fontanels are soft spots on an infant's skull where the bones have not yet fused together. The anterior fontanel, located at the front of the head, typically closes between 12 to 18 months of age. The posterior fontanel, located at the back of the head, usually closes by 2 to 3 months of age.
The other findings mentioned are typical developmental milestones for a 4-month-old infant:
1. Rolling from back to abdomen: By 4 months of age, it is expected that infants can roll from their back to their abdomen. This is a normal developmental milestone.
2. Moves objects to mouth: At 4 months, infants begin to develop hand-eye coordination and the ability to reach for objects. Bringing objects to the mouth is a typical behavior at this age as infants explore their environment.
Correct Answer is D
Explanation
Swelling of the lips
The nurse should reinforce with the client that the epinephrine auto-injector can help treat swelling of the lips. Epinephrine is a medication commonly used to treat severe allergic reactions, also known as anaphylaxis. Swelling of the lips is one of the hallmark manifestations of an allergic reaction.
Epinephrine acts quickly to reverse the allergic response by constricting blood vessels, relaxing smooth muscles, and reducing swelling and inflammation.
Nausea in (option A) is incorrect: Nausea can have various causes, and epinephrine is not specifically indicated for treating this symptom.
Hyperglycemia in (option B) is incorrect: Epinephrine can potentially increase blood glucose levels, so it is not used to treat hyperglycemia.
Hand tremors in (option C) is incorrect: Epinephrine can cause tremors as a side effect, so it is not used to treat hand tremors.
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