In order to prepare the child for the lumbar puncture, the nurse ...

[Chelseaamend]

In order to prepare the child for the lumbar puncture, the nurse would place the child in which of the following positions:
 
  a. Supine
  b. Side-lying with knees flexed
  c. Seated with back curved
  d. B or C

Question 2

The nurse is caring for a child after heart surgery. One nursing diagnosis is Ineffective family coping related to illness and hospitalization as evidenced by verbalization of guilt by parents and lack of involvement in the child's care.
 
   Which of the following interventions would be most helpful? a. Tell the parents they don't need to feel guilty, and ask them to help with care.
  b. Explain all lines, tubes, and procedures; answer all questions; involve social workers and clergy; encourage verbalization; and listen to concerns.
  c. Ask the parents: Why do you think you feel so guilty and not feel comfortable helping with the child's care?
  d. Tell the parents that their indifference is preventing full recovery of the child.

[djpooyouma]

Answer to Question 1

D
The nurse can place the child in either a side-lying position with knees flexed, or a seated position with the back curved. The supine position would make access to the spinal cord impossible.

Answer to Question 2

B

Feedback
A Incorrect. This does not address the parents' guilt.
B Correct. The most helpful interventions would be to explain all lines, tubes, and procedures; answer all questions; involve social workers and clergy; encourage verbalization; and listen to concerns.
C Incorrect. Asking anyone why they have specific feelings usually puts them on the defensive. This question may block future communication between the nurse and parents.
D Incorrect. This is not a helpful intervention and does not address their feelings of guilt.