A nurse is planning to apply a transdermal analgesic cream prior to inserting an IV for a preschool-age child. Which of the following actions should the nurse plan to take? (Select all that apply)

Cleanse the skin prior to procedure

Apply the medication an hour before the procedure begins

Use a visual pain rating scale to evaluate effectiveness of the treatment

Apply to intact skin

Spread the cream over the lateral surface of both forearms

Answer and Explanation

Correct Answer : A,B,C,D

A. Cleanse the skin prior to the procedure: Cleansing the skin before applying the transdermal analgesic cream is essential to remove any dirt, oils, or contaminants that could interfere with its absorption. This step helps ensure optimal drug delivery and effectiveness.
B. Apply the medication an hour before the procedure begins: Applying the transdermal analgesic cream an hour before the procedure allows sufficient time for the medication to be absorbed through the skin and reach its therapeutic effect. This timing ensures that the analgesic properties are in place when the IV insertion procedure starts.
C. Use a visual pain rating scale to evaluate the effectiveness of the treatment: Using a visual pain rating scale can help assess the child's pain level before and after applying the transdermal analgesic cream. This evaluation provides valuable feedback on the cream's effectiveness in providing pain relief.
D. Apply to intact skin: Transdermal medications are designed to be absorbed through intact skin. Applying the cream to intact skin ensures proper absorption and effectiveness of the analgesic medication.
E. Spread the cream over the lateral surface of both forearms. This option might not be necessary or appropriate for the intended purpose. The choice of application site for transdermal analgesic cream depends on the specific medication and the area of pain. While the lateral surface of the forearms can be a suitable site, it may not always be necessary or feasible to apply the cream to both forearms, especially if the intended IV insertion site is on one arm.

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Correct Answer is C

Explanation

A. Intermittent abdominal pain following passage of bloody mucus: This description is more consistent with the symptoms of placental abruption, where there is painful bleeding with the passage of blood and mucus. Placenta previa typically presents with painless bleeding.
B. Increasing abdominal pain with a non-relaxed uterus: Increasing abdominal pain with a non-relaxed uterus suggests uterine irritability, which may be indicative of preterm labor rather than placenta previa. Placenta previa typically presents with painless bleeding.
C. Painless red vaginal bleeding: This finding is characteristic of placenta previa. Pain is typically absent or minimal with placenta previa, and the bleeding is bright red due to the richly oxygenated maternal blood flowing from the placental vessels.
D. Abdominal pain with scant red vaginal bleeding: While abdominal pain may occur in some cases of placenta previa, it is typically not the predominant symptom. Additionally, the bleeding associated with placenta previa is typically painless and can be more profuse than scant bleeding.

A. "There is no way to predict how long it will last in each individual client B. "It occurs during the first trimester and near the end of the pregnancy." C. "In most cases it only lasts until the 12th week, but it will continue if you have poor bladder tone." D. "It’s a minor inconvenience, which you should ignore. "

Correct Answer is B

Explanation

A. "There is no way to predict how long it will last in each individual client." This response acknowledges the variability among individuals but does not provide specific information about urinary frequency during pregnancy. While it's true that the duration of urinary frequency can vary from person to person, the response lacks guidance or reassurance for the client.
B. "It occurs during the first trimester and near the end of the pregnancy." This response correctly identifies the pattern of urinary frequency during pregnancy. Urinary frequency is common during the first trimester due to hormonal changes and the growing uterus pressing on the bladder. It may also occur near the end of pregnancy as the fetus descends into the pelvis, putting pressure on the bladder again.
C. "In most cases it only lasts until the 12th week, but it will continue if you have poor bladder tone." This response suggests that urinary frequency typically resolves by the 12th week of pregnancy but may persist if the client has poor bladder tone. While urinary frequency may improve for some women after the first trimester, attributing its continuation solely to poor bladder tone oversimplifies the issue.
D. "It’s a minor inconvenience, which you should ignore." This response minimizes the client's concerns and does not provide helpful information about urinary frequency during pregnancy. Urinary frequency can be distressing for some pregnant individuals and should not be dismissed as a minor inconvenience.

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A nurse is planning to apply a transdermal analgesic cream prior to inserting an IV for a preschool-age child. Which of the following actions should the nurse plan to take? (Select all that apply)

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