A nurse is preparing a child for a lumbar puncture. In which of the following positions should the child be placed for the procedure?

Prone

Lateral

Semi-Fowler's

Supine

Answer and Explanation

The Correct Answer is B

A.   The prone position is not suitable for a lumbar puncture.
B.   The lateral position, with knees drawn up to the chest, is the most common position for a lumbar puncture. It helps widen the spaces between the vertebrae, making it easier to insert the needle.
C.   Semi-Fowler's position is not appropriate for a lumbar puncture.
D.   The supine position is not suitable for a lumbar puncture.

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Correct Answer is A

Explanation

A. Logrolling is a specific turning technique used to maintain spinal alignment post-operatively. It requires two nurses to prevent injury to the spine.

B. While elevating the head of the bed is important to prevent respiratory complications, a 30° angle is too high for a patient with spinal instrumentation. A lower angle is typically recommended to maintain spinal alignment.
C. Early ambulation is encouraged after surgery, but 12 hours is too soon. The adolescent will likely be on bed rest for several days to allow the fusion to stabilize.
D. Clear liquids are often introduced earlier than 4 hours post-surgery, once bowel sounds return and there is no evidence of nausea or vomiting.

A. Administer aspirin for fever. B. Provide the child with a warm blanket. C. Initiate airborne precautions. D. Assess the oral cavity for Koplik spots.

Correct Answer is C

Explanation

A. Aspirin should never be given to children with varicella due to the risk of Reye's syndrome, a serious and potentially fatal condition.
B. A warm blanket can increase the child's body temperature and discomfort. Cool compresses or baths are often recommended to relieve itching.

C. Varicella is a highly contagious airborne disease. Isolation precautions, including airborne precautions, are essential to prevent the spread of the virus.
D. Koplik spots are associated with measles, not varicella.

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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

Naxlex Comprehensive Predictor Exams

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Correct Answer is A

Explanation

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Correct Answer is C

Explanation

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