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?
Wash the site with alcohol prior to applying the cream
Gently rub the cream into the skin (never)
Apply the cream 1 hr. before the procedure
Avoid removing the cream prior to the procedure.
The Correct Answer is C
Choice A rationale
Washing the site with alcohol prior to applying the cream is not recommended. Alcohol can cause skin irritation and dryness, which may increase the discomfort during the procedure.
Choice B rationale
Rubbing the cream into the skin is not advised. The cream should be applied in a thick layer and not spread on the skin. Rubbing the cream can cause it to absorb into the skin too quickly and reduce its numbing effect.
Choice C rationale
Applying the cream 1 hour before the procedure is the correct action. Lidocaine and prilocaine cream should be applied at least 1 hour before the procedure to ensure adequate numbing of the skin.
Choice D rationale
The cream should not be left on the skin during the procedure. The healthcare provider will remove the cream just before the procedure. Leaving the cream on the skin could interfere with the procedure.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Choice A rationale
Covering the insertion site with an opaque dressing is not typically recommended for infants. Transparent dressings are usually preferred because they allow for easy inspection of the site for signs of infection or complications.
Choice B rationale
Using a 24-gauge catheter to start the IV is the correct action. This size is appropriate for a 12-month-old infant and will cause the least amount of discomfort and trauma to the vein.
Choice C rationale
Starting the IV on the infant’s foot is not typically recommended. The hands and arms are usually preferred sites for IV insertion in infants.
Choice D rationale
Changing the IV site every 3 days is not typically necessary unless there are signs of complications such as infection or infiltration. Frequent site changes can cause unnecessary discomfort and trauma to the infant.
Correct Answer is ["A","C"]
Explanation
he correct answer is Choice A, Choice C.
Choice A rationale: Keeping the child away from others until all vesicles have crusted over is essential to prevent the spread of varicella. The child is no longer contagious once the vesicles have crusted, reducing the risk of transmission.
Choice B rationale: Dressing the child in warm clothing is not recommended as it can cause discomfort and aggravate itching. Loose, comfortable clothing should be used to prevent irritation of vesicles and promote healing.
Choice C rationale: Applying calamine lotion to vesicles on the child’s skin can soothe itching and provide relief. It is a safe and effective topical treatment to manage symptoms associated with varicella, ensuring the child remains comfortable.
Choice D rationale: Bathing the child is recommended to maintain hygiene and prevent secondary infections. Using mild soap and lukewarm water can help keep the skin clean and reduce itching, contrary to avoiding baths.
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