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

Supine

Semi-Fowler's

Answer and Explanation

The Correct Answer is B

A.   Placing the child prone (face down) is not appropriate for a lumbar puncture.
B.   Placing the child in a lateral position (lying on their side) with knees flexed is the correct position for a lumbar puncture as it allows for optimal access to the lumbar area.
C.   Placing the child supine (on their back) is not ideal for a lumbar puncture as it does not provide the necessary access to the lumbar area.
D.   Placing the child in semi-Fowler's position (lying on their back with the head of the bed elevated) is not typically used for lumbar puncture procedures.

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Correct Answer is {"dropdown-group-1":"B","dropdown-group-2":"E"}

Explanation

A. While acute glomerulonephritis can occur following certain infections such as streptococcal infections, it is less commonly associated with fever and lethargy compared to pyelonephritis.
B. Pyelonephritis is a bacterial infection of the kidneys commonly associated with fever and lethargy, especially in young children. The fever and lethargy reported by the parent, along with the urine sample obtained, suggest a concern for pyelonephritis.
C. Polycystic kidney disease typically presents later in life and is not typically associated with acute febrile illness in a 1-year-old toddler.
D. Renal scarring can occur as a complication of untreated or recurrent urinary tract infections (UTIs), particularly pyelonephritis. The presence of fever and lethargy in the child, along with the history of decreased appetite, raises concerns for a urinary tract infection that could lead to renal scarring if left untreated.
E. Nephrotic syndrome typically presents with edema, proteinuria, hypoalbuminemia, and hyperlipidemia, rather than the symptoms described in the scenario.

A. Vomiting B. Hypertension C. Rounded abdomen D. Tachypnea

Correct Answer is C

Explanation

Correct Answer: C Rationale:
A. Vomiting may occur with various gastrointestinal conditions but is not a specific finding associated with necrotizing enterocolitis. Bloody stools are more characteristic of this condition.
B. Hypertension is not typically associated with necrotizing enterocolitis. Instead, infants may present with hypotension due to sepsis or shock.
C. A rounded abdomen is a common finding in necrotizing enterocolitis due to abdominal distention from gas and fluid accumulation in the intestines.
D. Tachypnea may occur as a result of sepsis or respiratory distress but is not specific to necrotizing enterocolitis.

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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

A nurse in a provider's office is caring for a 1-year-old toddler. Exhibits The child is at risk for developing dropdown and dropdown. Drag words from the choices below to fill in each blank in the following sentence.

Correct Answer is {"dropdown-group-1":"B","dropdown-group-2":"E"}

Explanation

A nurse is caring for an infant who has necrotizing enterocolitis. Which of the following findings should the nurse expect?

Correct Answer is C

Explanation

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