The nurse is preparing to provide a child with an injection. Which technique should the nurse use when applying EMLA cream to the injection site?
Wipe it off at least 15 minutes before the procedure
Do not cover it after application to prevent it from discoloring
Apply it immediately prior to the painful procedure
Apply it at least 1 hour before the procedure
The Correct Answer is D
A. Wipe it off at least 15 minutes before the procedure: EMLA cream should be left on the skin for a sufficient amount of time to be effective, and it should not be wiped off too soon. It is typically left on for about 1 hour to ensure adequate numbing.
B. Do not cover it after application to prevent it from discoloring: EMLA cream should be covered with a dressing (such as plastic wrap) after application to help the cream stay in place and improve absorption. It should not be left uncovered.
C. Apply it immediately prior to the painful procedure: EMLA cream needs time to work, and applying it right before the procedure will not provide enough time for numbing. It should be applied at least 1 hour before the procedure for effective pain relief.
D. Apply it at least 1 hour before the procedure: EMLA cream should be applied at least 1 hour before the procedure to allow adequate time for the cream to penetrate the skin and provide effective local anesthesia.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["1418"]
Explanation
Convert the child's weight from pounds (lb) to kilograms (kg).
Weight in kg = 52 lb / 2.2 lb/kg
= 23.636 kg.
Maximum safe dose per kilogram per administration = 15 mg/kg.
Calculate the maximum single dose in milligrams (mg).
Maximum single dose (mg) = Maximum dose per administration (mg/kg) × Weight (kg)
= 15 mg/kg × 23.636 kg
= 354.54 mg.
Determine the number of times the medication can be administered per day.
Given every 6 hours, Number of doses per day = 24 hours / 6 hours/dose
= 4 doses/day.
Calculate the maximum safe daily dose of the medication.
Maximum safe daily dose (mg) = Maximum single dose (mg) × Number of doses per day
= 354.54 mg × 4 doses
= 1418.16 mg.
Round the answer to the nearest whole number.
= 1418 mg.
Correct Answer is A
Explanation
A. The vaginal discharge may be bothersome but is a normal occurrence: White vaginal discharge without odor or itching is common during early pregnancy due to hormonal changes. It is typically harmless unless accompanied by additional symptoms like itching or foul odor.
B. Use tampons if the discharge is bothersome but be sure to change the tampons every two hours: Tampons are not recommended during pregnancy as they can increase the risk of infections. The focus should be on alternative measures like using panty liners for comfort.
C. Report to the emergency department immediately: The discharge described is not abnormal or concerning. Emergency care is unnecessary unless the client experiences additional alarming symptoms such as bleeding, severe pain, or a strong odor.
D. Come to the clinic immediately: The discharge seems normal, so immediate clinic visits are not necessary unless there are other concerning symptoms. A phone call and reassurance would be more appropriate.
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