The Nurse Is Assisting with a Lumbar Puncture of an Infant

question 14

Multiple Choice

The nurse is assisting with a lumbar puncture of an infant who is irritable and feverish.The manometer indicates increased intracranial pressure and the cerebral spinal fluid appears cloudy.The nurse will institute which interventions as a result of these findings?

• A)Prepare to send the infant for a CT scan to look for an area of bleeding.
• B)Assess the infant's anterior fontanel for any bulging.
• C)Place the child in respiratory isolation because of possible meningitis.
• D)Administer an antipyretic and prepare to send the infant home.

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