A nurse is planning to provide topical analgesia to numb the site prior to a scheduled lumbar puncture for a preschool-age child. Which of the following actions should the nurse plan to take? (Select all that apply.)

Place a transdermal fentanyl patch

Apply EMLA (lidocaine/prilocaine) an hour more the procedure begins.

Give the child a cup of juice and crackers to keep them calm

sedate the child 15 minutes before the procedure

Place tegaderm to the back

Answer and Explanation

Correct Answer : B,C

A. A transdermal fentanyl patch is not appropriate for this situation, especially for a short procedure, as it requires time to reach therapeutic levels.

B. Applying EMLA cream (lidocaine/prilocaine) at least an hour prior to the procedure helps numb the skin, making the lumbar puncture less painful.

C. Offering a cup of juice and crackers can help distract the child and provide comfort during the waiting period.

D. Sedation is not typically necessary for a lumbar puncture in a preschool-age child unless there are specific concerns, and it is usually done with caution.

E. Placing tegaderm is unnecessary for the back area where the lumbar puncture will occur and does not contribute to pain management.

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Correct Answer is C

Explanation

A. The 20th percentile does not indicate that the child’s growth is below normal limits. It simply means that the child is smaller than 80% of peers but still within a healthy range.

B. Growth charts are standardized and account for various ethnicities. Therefore, this option is incorrect.

C. A child whose height and weight fall within the 20th percentile is still within normal limits, as healthy growth can range from the 5th to 95th percentile.

D. Growth charts can be used even on single measurements to assess whether a child is tracking along a normal growth curve, though more frequent measurements give a better picture over time.

A. Educate the parents about developmental milestones and ways to support their child's growth. B. Limit interaction with other children to avoid overstimulation. C. Implement strict routines to discourage any negative behaviors D. Collaborate with the child's parents and healthcare professionals to develop and individualize plan of care E. Focus on age-appropriate activities that will stimulate the toddler's cognitive and motor skills. F. Encourage the toddler to play independently in order to promote self-sufficiency.

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

Explanation

A. Educating parents about developmental milestones is essential in helping them understand their child’s needs and ways to support development effectively.

B. Limiting interaction with other children may hinder the toddler’s social development. While overstimulation should be managed, social interaction is important.

C. Strict routines may not necessarily discourage negative behaviors. Flexible and adaptive routines are more beneficial for toddlers with developmental delays.

D. Collaboration with parents and other healthcare professionals is crucial in creating a care plan that addresses the child’s specific developmental needs.

E. Engaging the toddler in age-appropriate activities helps stimulate cognitive and motor development.

F. Encouraging independent play is beneficial, but toddlers with developmental delays often benefit from guided play to support their development.

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A nurse is planning to provide topical analgesia to numb the site prior to a scheduled lumbar puncture for a preschool-age child. Which of the following actions should the nurse plan to take? (Select all that apply.)

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Naxlex Comprehensive Predictor Exams

The nurse is assessing a 5-year-old child who is being seen in the clinic for the first time. The child's height and weight are in the 20th percentile on the commonly used growth chart from the National Center for Health Statistics. When interpreting the data, the nurse recognizes

Correct Answer is C

Explanation

A nurse is caring for a 2-year-old toddler who has been diagnosed with developmental delays. Which of the following actions should the nurse prioritize to ensure appropriate care? (Select All that Apply.)

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

Explanation

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