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
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. Administering oxygen is unnecessary, as the respiratory rate is within the normal range for a 3-week-old (30-60 breaths/min).
B. A respiratory rate of 35 breaths/minute is normal for an infant, so the nurse should document this finding.
C. Reassessing the respiratory rate is unnecessary unless other symptoms are present.
D. There is no need to notify the healthcare provider, as the respiratory rate is within normal limits.
Correct Answer is B
Explanation
A. A soft, squishy ball is safe for infants and can help with tactile exploration and motor skills.
B. A soft, button-eyed stuffed animal may pose a choking hazard if buttons become detached, thus requiring additional guidance on safe toy choices.
C. Colorful rattles are excellent for stimulating an infant’s senses and encouraging grasping and shaking.
D. Cloth books are appropriate for infants, promoting sensory exploration through touch and visual engagement.
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