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?

Avoid removing the cream prior to the procedure.

Rub the cream into the skin.

Apply the cream 1 hour before the procedure.

Wash the site with alcohol prior to applying the cream.

Answer and Explanation

The Correct Answer is C

Choice A reason: Avoiding the removal of the cream prior to the procedure is important, but it does not specify when or how the cream should be applied, which is crucial for its effectiveness.

Choice B reason: Rubbing the cream into the skin is not recommended as it should be applied as a thick layer and covered with an occlusive dressing to ensure proper absorption and numbing effect.

Choice C reason: Applying the cream 1 hour before the procedure allows enough time for the lidocaine and prilocaine to take effect, providing adequate local anesthesia for the insertion of the IV catheter.

Choice D reason: Washing the site with alcohol prior to applying the cream is necessary to clean the area, but it is not the action that addresses the primary goal of numbing the site for the procedure.

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Correct Answer is D

Explanation

Choice Areason: Decreased urine output is not directly related to ventriculoperitoneal shunt displacement. It may indicate other issues such as dehydration or kidney problems.

Choice Breason: Increased sleeping is not a specific indicator of shunt displacement. While it may be a concern if there are significant changes in the child's sleep patterns, it is not a definitive sign of this complication.Choice C reason: Hyperactive bowel sounds are not associated with shunt displacement. They may indicate gastrointestinal issues but are not relevant to the function of a ventriculoperitoneal shunt.

Choice D reason: An elevated temperature can be an indicator of shunt displacement, as it may suggest an infection or other complications related to the shunt. Parents should be aware of this sign and seek medical attention if it occurs.

A. "We will apply lotion to the skin under the straps." B. "We should expect our baby to wear this harness for 2 weeks." C. "We will place the diaper under the straps." D. "We should adjust the straps daily."

Correct Answer is C

Explanation

Choice A reason: Applying lotion to the skin under the straps is not recommended as it can interfere with the harness's grip and may lead to slippage or improper positioning.

Choice B reason: Expecting the baby to wear the harness for only 2 weeks may be incorrect as the duration of use is typically determined by the physician based on the infant's progress and may extend beyond 2 weeks.

Choice C reason: Placing the diaper under the straps is correct as it allows for easy diaper changes without removing the harness and ensures that the harness remains in the proper position.

Choice D reason: Adjusting the straps daily is not advised unless instructed by a healthcare professional. Improper adjustments can affect the effectiveness of the harness and the treatment of developmental dysplasia of the hip.

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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?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is providing discharge teaching to the parents of a school-age child following the placement of a ventriculoperitoneal shunt. The nurse should determine that the teaching was effective when the parents identify which of the following as an indicator that the shunt has been displaced?

Correct Answer is D

Explanation

A nurse is providing teaching to the parents of a 2-month-old infant who has developmental dysplasia of the hip and has a prescription for a Pavlik Harness. Which of the following statements by the parents indicates an understanding of the teaching?

Correct Answer is C

Explanation

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