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Exam NCLEX-RN topic 5 question 43 discussion

Actual exam question from Test Prep's NCLEX-RN
Question #: 43
Topic #: 5
[All NCLEX-RN Questions]

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.
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Suggested Answer: A 🗳️
(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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