Nursing intervention during the lumbar puncture procedure includes:

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Question 1 of 5

Nursing intervention during the lumbar puncture procedure includes:

Correct Answer: C

Rationale: During a lumbar puncture procedure, it is important to position the patient correctly to facilitate the procedure and minimize the risk of complications. Placing the patient on their side with their knees drawn up to their chest helps open up the spaces in the lower spine, making it easier for the healthcare provider to access the appropriate area for the procedure. This position also helps to minimize the risk of post-procedure complications such as spinal headaches. Monitoring the patient's vital signs is important but does not specifically relate to the nursing intervention during the lumbar puncture procedure. Labeling laboratory specimens in numerical order is also a routine task but not directly related to the procedure itself. Thus, the correct intervention during the lumbar puncture procedure is positioning the patient on their side with knees drawn up to the chest.

Question 2 of 5

Regarding physical growth of preschool children (3-5 years), all are true EXCEPT

Correct Answer: A

Rationale: Weight increment varies and is generally less than 7-8 kg/yr.

Question 3 of 5

The nurse is planning care for a newborn receiving IV calcium gluconate for treatment of hypocalcemia. Which intervention is the most appropriate during the acute phase?

Correct Answer: D

Rationale: During the acute phase of treatment with IV calcium gluconate for hypocalcemia in a newborn, it is essential to closely monitor the newborn's level of consciousness. Hypocalcemia can lead to central nervous system changes, such as irritability, jitteriness, and seizures. By awakening the newborn periodically to assess their level of consciousness, the nurse can promptly identify any signs of worsening central nervous system involvement and take appropriate action. This intervention ensures timely detection of any neurological complications and allows for timely intervention to prevent serious consequences. The other options do not address the importance of monitoring for central nervous system changes during the acute phase of treatment for hypocalcemia.

Question 4 of 5

Prenatal exposure to cigarette smoke is associated with

Correct Answer: D

Rationale: Neonatal diabetes is not commonly associated with prenatal cigarette smoke exposure.

Question 5 of 5

Which discharge instruction for a child with encopresis should the nurse question?

Correct Answer: D

Rationale: A high-protein diet can worsen constipation; a high-fiber, balanced diet is preferable.

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