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
Initiating contact precautions is not necessary for a child experiencing a sickle cell crisis. Sickle cell disease is not contagious and does not require isolation precautions.
Choice B rationale
Applying warm compresses to the affected area can help increase blood flow and reduce pain during a sickle cell crisis. Warmth can help dilate blood vessels, allowing more blood to reach the affected area and reducing the blockage caused by the sickle cells.
Choice C rationale
Decreasing the child’s fluid intake is not recommended during a sickle cell crisis. In fact, it’s important to encourage fluid intake to prevent dehydration, which can worsen the crisis.
Choice D rationale
Administering furosemide IV twice per day is not typically part of the treatment plan for a sickle cell crisis. Furosemide is a diuretic, which could potentially lead to dehydration, worsening the crisis.
Correct Answer is A
Explanation
Choice A rationale
A preschool-age child being curious about what happened to the sibling’s body is an age-appropriate response to death. At this age, children often view death as temporary or reversible, and they may be curious about the physical realities of death.
Choice B rationale
A preschool-age child feeling responsible for the sibling’s death is not an age-appropriate response to death. While children at this age may sometimes believe their thoughts or actions can influence events, it’s not typical for them to feel personally responsible for a death.
Choice C rationale
A preschool-age child being able to give a logical explanation for the sibling’s death is not an age-appropriate response to death. Preschoolers typically have a limited understanding of the causes and permanence of death.
Choice D rationale
A preschool-age child viewing the sibling’s death as permanent is not an age-appropriate response to death. Most children in this age group do not understand that death is permanent.
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