Which of the following is a reason to do a lumbar puncture on a ...

[APUS57]

Which of the following is a reason to do a lumbar puncture on a child with a diagnosis of leukemia?
 
  1. To assess the central nervous system for infiltration
   2. To determine increased intracranial pressure
   3. To stage the leukemia
   4. To rule out meningitis

Question 2

A student nurse complains to the charge nurse about the mother of a Hispanic child who refuses to make the decision about hospice care until her husband comes to the hospital. The charge nurse explains that:
 
  a. The mother probably did not understand due to a language barrier
  b. The male head of the family makes health care decisions
  c. The mother is in denial about the condition of the child
  d. Hispanic culture requires that efforts at cure should continue until death

[EAN94]

Answer to Question 1

1
Feedback
1. The abnormal cells of leukemia are definitive for the disease.
2. A lumbar puncture can increase ICP, not diagnose it.
3. Staging is done with blood cells, not cerebral spinal fluid.
4. If a child has a known diagnosis of leukemia, the lumbar puncture does not need to be done to identify meningitis unless other blood tests indicate infection.

Answer to Question 2

B
In the Mexican-American community, the male head of the family makes all decisions, health care included.