A 2-year-old is admitted to the hospital with possible encephalitis, and a lumbar puncture is scheduled. Which information should the nurse provide this child concerning the procedure?- Nurselytic

Question 1 of 5

A 2-year-old is admitted to the hospital with possible encephalitis, and a lumbar puncture is scheduled. Which information should the nurse provide this child concerning the procedure?

A. Describe the side-lying, knees-to-chest position that must be assumed during the procedure. B. Explain that fluids cannot be taken for 8 hours before the procedure and for 4 hours after the procedure. C. Reassure the child that there will be no restrictions on activity after the procedure is completed. D. Tell the child to expect loud clicking noises during the procedure that may be slightly annoying.

Correct Answer: A

Rationale: Children, especially young ones, benefit from knowing what position they will be in during a procedure as it helps them understand and feel more in control. Describing the side-lying, knees-to-chest position can reduce anxiety and promote cooperation during the lumbar puncture.

Question 2 of 5

A mother brings her school-aged daughter to the pediatric clinic for evaluation of her anti-epileptic medication regimen. What information should the nurse provide to the mother?

A. The medication dose will be tapered over a period of 2 weeks when being discontinued B. If seizures return, multiple medications will be prescribed for another 2 years C. A dose of valproic acid (Depakote) should be available in the event of status epilepticus D. Phenytoin (Dilantin) and phenobarbital (Luminal) should be taken for life

Correct Answer: A

Rationale: Antiepileptic drugs should not be abruptly stopped as it may lead to seizure recurrence, hence the need for gradual tapering over 2 weeks.

Question 3 of 5

A 6-year-old child with sickle cell anemia presents to the emergency department with severe pain in the legs and abdomen. The child is crying and states that the pain is unbearable. What is the nurse's priority action?

A. Apply warm compresses to the painful areas B. Administer prescribed pain medication C. Encourage the child to drink fluids D. Monitor the child's oxygen saturation

Correct Answer: B

Rationale: In a sickle cell crisis, pain management is a priority to alleviate the child's suffering. Administering the prescribed pain medication is crucial to address the severe pain experienced by the child. Warm compresses, fluid intake, and oxygen saturation monitoring are important interventions but should follow the priority of pain management in this situation.

Question 4 of 5

The mother of a one-month-old calls the clinic to report that the back of her infant's head is flat. How should the nurse respond?

A. Turn the infant on the left side braced against the crib when sleeping. B. Prop the infant in a sitting position with a cushion when not sleeping. C. Place a small pillow under the infant's head while lying on the back. D. Position the infant on the stomach occasionally when awake and active.

Correct Answer: D

Rationale: Positioning the infant on the stomach occasionally when awake and active can help prevent flat spots on the head.

Question 5 of 5

The nurse is assessing a 4-year-old child who is brought to the clinic for a routine checkup. The child's parent reports that the child has been more irritable and less active over the past week. The nurse notes a petechial rash on the child's trunk and extremities. What should the nurse do first?

A. Ask the parent about recent exposure to contagious diseases B. Review the child's immunization record C. Measure the child's temperature D. Notify the healthcare provider immediately

Correct Answer: D

Rationale: Petechial rash can be a sign of a serious condition like meningitis, and the healthcare provider should be notified immediately.

Nurselytic

HESI RN

HESI RN

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