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

A. Changing positions frequently may be distracting and confusing for the child. It is important to find a comfortable and quiet environment for communication.

B. Exaggerating the pronunciation of words may distort the natural flow of speech and make it more difficult for the child to understand. It is best to speak clearly and at a normal pace.

C. Using light touch when initiating conversation is not effective for a child with hearing loss, as they rely primarily on visual and auditory cues for communication.

D. This is the correct action. Maintaining a neutral facial expression allows the child to observe facial cues and expressions that are important for understanding non-verbal communication. It also helps create a comfortable and natural environment for conversation.

A. Providing a high-calorie diet is important for a child with extensive burns to support wound healing and recovery.

B. Monitoring intake and output is crucial to assess fluid balance and ensure that the child is receiving enough fluids and nutrients for healing.

C. Changing dressings using an aseptic technique helps prevent infection, which is a significant risk in burn wounds.

D. Removing splints during sleep is not recommended, as they are in place to prevent contractures. They should be worn consistently, including during sleep.

E. Administering analgesics IM (intramuscularly) is not typically indicated. Pain
management can be achieved through various routes, and IM administration may not be necessary. Additionally, it's important to consider the child's pain level and choose the most appropriate and effective route for analgesia.