How should the nurse explain positioning for a lumbar puncture to ...

[cnetterville]

How should the nurse explain positioning for a lumbar puncture to a 5-year-old child?
 
  a. You will be on your knees with your head down on the table..
  b. You will be able to sit up with your chin against your chest..
  c. You will be on your side with the head of your bed slightly raised..
  d. You will lie on your side and bend your knees so that they touch your chin..

Question 2

Which would be an appropriate nursing intervention for the child with a tension headache?
 
  a. Assess for an aura.
  b. Maintain complete bed rest.
  c. Administer pharmacological headache relief measures.
  d. Assess for nausea and vomiting.

[Sierray]

Answer to Question 1

D
The child should lie on her side with knees bent and chin tucked into the knees. This position exposes the area of the back for the lumbar puncture. The knee-chest position is not appropriate for a lumbar puncture. An infant can be placed in a sitting position with the infant facing the nurse and the head steadied against the nurse's body. A side-lying position with the head of the bed elevated is not appropriate for a lumbar puncture.

Answer to Question 2

C
Administration of pharmacological techniques is appropriate to assist in the management of a tension headache. An aura is associated with migraines but not with tension headaches. Complete bed rest is not required. Nausea and vomiting are associated with a migraine but not with tension headaches.