A 2-year-old child is being admitted to the hospital for possible bacterial meningitis. When preparing for a lumbar puncture, what should the nurse do?
a. Set up a tray with equipment the same size as for adults.
b. Apply EMLA to the puncture site 15 minutes before the procedure.
c. Prepare the child for conscious sedation being used for the procedure.
d. Reassure the parents that the test is simple, painless, and risk free.
ANS: C
Because of the urgency of the child's condition, conscious sedation should be used for the procedure. Pediatric spinal trays have smaller needles than do adult trays. EMLA should be applied approximately 60 minutes before the procedure; the emergency nature of the spinal tap precludes its use. A spinal tap is not a simple procedure and does have associated risks; analgesia will be given for the pain.
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