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

Supine

Semi-Fowler's

Lateral

Prone

Answer and Explanation

The Correct Answer is C

A. Placing the child in a supine position is not the appropriate position for a lumbar puncture. The child should be in a lateral position.

B. A semi-Fowler's position is not the appropriate position for a lumbar puncture. The child should be in a lateral position.

C. Correct. Placing the child in a lateral position allows for better access to the spinal canal, which is necessary for a lumbar puncture.

D. Placing the child in a prone position is not the appropriate position for a lumbar puncture. The child should be in a lateral position.

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Correct Answer is A

Explanation

A. A respiratory rate of 28 breaths per minute indicates increased respiratory effort, which can be a sign of moderate dehydration. The infant may be trying to compensate for fluid
loss.

B. Capillary refill of 1 second is within the normal range (less than 2 seconds). It is not indicative of moderate dehydration.

C. Weight loss of 7% is a significant amount of weight loss and is indicative of severe dehydration, not moderate dehydration. Moderate dehydration is usually defined as 5- 10% weight loss.

D. Bradycardia (slow heart rate) is not typically associated with dehydration. In fact, tachycardia (fast heart rate) is a more common sign of dehydration.

A. Bilateral cool extremities B. Blood pressure 102/58 mm Hg C. Serum glucose 90 mg/dL D. Weak pedal pulse distal to the site

Correct Answer is D

Explanation

A. Bilateral cool extremities can be common after a cardiac catheterization due to transient vasoconstriction but is not necessarily an immediate concern if perfusion remains adequate.
B. Blood pressure of 102/58 mm Hg is within the normal range for a toddler and does not require reporting.
C. Serum glucose of 90 mg/dL is within normal limits for a toddler and does not indicate a complication.
D. Weak pedal pulse distal to the site should be reported because it may indicate arterial occlusion or compromised circulation following the procedure. While pulses may initially be weak due to swelling, they should not be absent or significantly diminished over time.

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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?

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