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A nurse in the emergency department is preparing to discharge a 3-year- old child.

Nurses' Notes

The child's guardian states the child has been unable to sleep recently and has been very irritable. Guardian expresses concern about the child's atopic dermatitis worsening and the child

scratching excessively, which results in the areas bleeding. Guardian states the child has a history of allergic rhinitis.
Which of the following statements should the nurse plan to include in the discharge instructions for the child's guardian? (Select all that apply.)

"You should apply a thick layer of pimecrolimus cream to your child's lesions."

"You can apply gloves to your child's hands."

"You should cut and file your child's fingernails frequently."

"Your child will experience occasional flare-ups of this condition."

"You should apply emollients to your child's skin after bathing."

"Your child's condition is contagious when lesions are present."

Answer and Explanation

Correct Answer : A,B,C,D,E,F

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Correct Answer is D

Explanation

A. The cream should be removed after it has been on the skin for the recommended amount of time. It is typically wiped off before the procedure.

B. The medication should applied repeatedly to provide analgesia

C. Washing the site with alcohol before applying the cream is not necessary and may cause unnecessary skin irritation.

D. Lidocaine and prilocaine cream typically require about 60 minutes to take effect.

A. Maintain the child in a supine position. B. Provide cranberry juice to the child. C. Discourage the child from coughing. D. Administer an analgesic to the child on a scheduled basis. E. Observe the child for frequent swallowing.

Correct Answer is ["D","E"]

Explanation

A. Maintaining the child in a supine position is not recommended after a tonsillectomy.
The child should be positioned on their side to prevent aspiration.

B. Cranberry juice is acidic and may be irritating to the surgical site. Clear, non-acidic fluids are usually recommended after a tonsillectomy.

C. While coughing should be minimized to prevent irritation to the surgical site, the child should not be discouraged from coughing if needed to clear secretions.

D. Administering an analgesic on a scheduled basis is important for managing pain after a tonsillectomy. This helps to maintain a consistent level of pain control.

E. Observing the child for frequent swallowing is important, as it may indicate bleeding or discomfort. This is a key assessment after a tonsillectomy.

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Naxlex Comprehensive Predictor Exams

A nurse is preparing to apply lidocaine and prilocaine cream to a child prior to the insertion of an IV catheter. Which of the following actions should the nurse plan to take?

Correct Answer is D

Explanation

A nurse is caring for a school-age child who is 1 hr postoperative following a tonsillectomy. Which of the following actions should the nurse take? (Select all that apply.)

Correct Answer is ["D","E"]

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