A pediatrician has evaluated the child and has written new prescriptions. Exhibits The nurse is preparing to assist with a lumbar puncture. Which of the following actions should the nurse take? Select all that apply.

Rationale for Correct Answers: Apply pressure to the puncture site following the procedure: Applying pressure minimizes bleeding and helps close the puncture site, reducing the risk of cerebrospinal fluid leakage. Ensure the guardian has signed the consent form prior to the procedure: Invasive procedures require informed consent from a parent or guardian to meet legal and ethical standards. Monitor for paresthesia and tingling in extremities following the procedure: These could indicate nerve irritation or injury from the lumbar puncture, necessitating prompt evaluation. Ensure the child voids prior to the procedure: A full bladder can cause discomfort and interfere with positioning during the lumbar puncture. Rationale for Incorrect Choices: Limit the child's fluid intake following the procedure: Fluids should be encouraged post-lumbar puncture to help reduce the risk of headache by promoting cerebrospinal fluid regeneration. Position the child in a prone position during the procedure: The proper position is lateral recumbent with knees drawn to the chest or sitting up with the back arched to open the lumbar space. Insert an indwelling urinary catheter during the procedure: Routine catheterization is unnecessary unless the child is unable to void or has another clinical indication.