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.

Answer and Explanation

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.

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Correct Answer is C

Explanation

Choice A rationale

Encouraging flexion and extension of the neck in a client with a halo vest for cervical vertebral fracture is not recommended. The purpose of the halo vest is to immobilize the neck to allow healing.

Choice B rationale

Assessing the pin sites for infection once every other day is not typically recommended. More frequent assessments are usually necessary to promptly identify any signs of infection.

Choice C rationale

Repositioning the client using a turning sheet is the correct action. This method of repositioning can help to prevent skin breakdown and pressure ulcers, which are potential complications for clients who are immobilized.

Choice D rationale

Tightening the screw on the halo device once-quarter turn every 48 hours is not typically recommended. Adjustments to the halo device should be made by a healthcare professional as needed based on the client’s condition and comfort.

A. unexplained weight gain B. Flushed skin C. decrease body temperature D. night sweat.

Correct Answer is D

Explanation

Choice A rationale

Unexplained weight gain is not typically associated with Hodgkin’s lymphoma. More common symptoms include unexplained weight loss.

Choice B rationale

Flushed skin is not typically associated with Hodgkin’s lymphoma. More common symptoms include swollen lymph nodes in the neck, armpits, or groin.

Choice C rationale

Decreased body temperature is not typically associated with Hodgkin’s lymphoma. More common symptoms include fever.

Choice D rationale

Night sweats are a common symptom of Hodgkin’s lymphoma.

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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 caring for a client who is postoperative placement of a halo vest to manage a cervical vertebral fracture.Which of the following actions should the nurse take?

Correct Answer is C

Explanation

A nurse is assessing an client who has Hodgkin's lymphoma.Which of the following finding s should the nurse expect?

Correct Answer is D

Explanation

A nurse in a community clinic is reviewing the laboratory result of four client s. the nurse should identify that which of the following sexually transmitted infections is nationally notifiable.?

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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?

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