A nurse is caring for a child who has had a lumbar puncture. The nurse should monitor the child for which of the following complications?
Nuchal rigidity when standing
Double vision
Headache
Pain in the posterior iliac crest
The Correct Answer is C
Rationale:
A. Nuchal rigidity when standing may indicate meningitis, but it is not a common complication of lumbar puncture itself.
B. Double vision is not a typical complication of lumbar puncture and suggests other neurological issues.
C. Headache is a common complication of lumbar puncture, occurring due to leakage of cerebrospinal fluid (CSF) from the puncture site. It is often described as positional, worsening when the patient sits or stands upright and improving when lying down.
D. Pain in the posterior iliac crest is not a typical complication of lumbar puncture and may indicate musculoskeletal issues unrelated to the procedure.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
Rationale:
A. Neck vein distention is not typically associated with acute acetylsalicylic acid poisoning.
B. Polyuria is not a common symptom of acute acetylsalicylic acid poisoning.
C. Jaundice is not typically associated with acute acetylsalicylic acid poisoning.
D. Hyperpyrexia (extremely high fever) is a potential complication of acute acetylsalicylic acid poisoning due to its effects on the central nervous system and metabolism.
Correct Answer is B
Explanation
Rationale:
A. Minimizing movement of the limbs is not necessary during a seizure and can be harmful.
B. Clearing the area of hard objects helps prevent injury to the child during a seizure by reducing the risk of hitting or bumping into objects.
C. Placing the child in a prone position is not recommended during a seizure as it can obstruct the airway.
D. Inserting a tongue blade between the teeth is contraindicated and can lead to injury. It's important not to put anything in the child's mouth during a seizure.
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