NCLEX National Council Licensure Examination(NCLEX-RN) NCLEX-RN Question # 108 Topic 11 Discussion
NCLEX-RN Exam Topic 11 Question 108 Discussion:
Question #: 108
Topic #: 11
A normal 3-year-old child is suspected of having meningitis. The doctor has ordered a lumbar puncture. In light of this procedure and developmental characteristics of this age group, which nursing measure is most appropriate?
A.
Emphasize those aspects of the procedure that require cooperation.
B.
Tell the child not to cry or yell.
C.
Tell the child that he will get a “stick” in his back.
D.
Use medical terminology when explaining the procedure to the client.
(A) The nurse should emphasize what is required to elicit cooperation and help to develop a sense of autonomy. (B) The child may express discomfort verbally and should be encouraged to express his feelings. (C) Selecting nonthreatening words to explain a procedure will prevent misinterpretation. (D) When explaining the procedure to the parent with the child present, the nurse should use words that the child can understand to avoid misunderstanding.
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