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 ["A","D","F","G"]
Explanation
A. Development typically progresses from the head (top) to the feet (bottom), reflecting a cephalocaudal pattern.
B. This statement is inaccurate; development is not characterized by functional to nonfunctional but rather by increasing complexity.
C. This pattern is incorrect; development does not proceed from outside to inside but instead follows a different trajectory.
D. The development pattern from the center (proximal) to the periphery (distal) is known as the proximodistal pattern of development.
E. This statement is not correct; development does not follow a bottom-to-top pattern.
F. Development does move from simple skills to more complex skills as infants grow.
G. Growth and development indeed follow a pathway from general skills to more specific tasks as children refine their abilities.
Correct Answer is A
Explanation
A. Quality of food, including nutrient-rich options, is more important than the quantity, as toddlers often have variable appetites but still need proper nutrition.
B. The caloric requirement for toddlers is around 1,000 to 1,400 calories per day, not 3,000.
C. Toddlers often have a decreased appetite compared to their infant stage due to slower growth rates.
D. Adult vitamins are not appropriate for toddlers, and their needs should be met primarily through food, with pediatric supplements used only if recommended by a healthcare provider.
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