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 A

Explanation

A. Parallel play, where children play alongside each other without directly interacting, is typical for toddlers. It allows them to develop social awareness while still focusing on their individual activities.

B. Cooperative play, which involves playing together with shared goals, typically emerges in older children, around age 4-5.

C. Solitary play is more characteristic of infants and very young toddlers, but by the toddler stage, children engage in parallel play.

D. Dramatic play (pretend play) does occur in toddlers but is more individual. Parallel play is more common in group settings.

A. Human papillomavirus (HPV4) B. Varicella (VAR) C. Rotavirus (RV) D. Measles, mumps, rubella (MMR) E. Diphtheria, tetanus, and acellular pertussis (DTaP)

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

Explanation

A. The HPV vaccine is typically given starting at age 11-12 years, not at 1 year.

B. The Varicella vaccine is recommended for children at age 1, making it appropriate for this age group.

C. The Rotavirus vaccine is usually administered earlier, with the final dose given by 8 months of age.

D. The MMR vaccine is given between 12-15 months, making it appropriate for the 1-year-old child.

E. The DTaP vaccine is part of the routine immunizations given at 2, 4, 6, and 15-18 months, making it suitable for a 1-year-old.

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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.)

Nursing Test Bank

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Which type of play is most developmentally appropriate for a group of toddlers in a playgroup setting?

Correct Answer is A

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