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.".
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.
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