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?

Avoid removing the cream prior to the procedure.

Gently rub the cream into the skin.

Wash the site with alcohol prior to applying the cream.

Apply the cream 1 hr before the procedure.

Answer and Explanation

The Correct Answer is D

A. The cream should be removed after it has been on the skin for the recommended amount of time. It is typically wiped off before the procedure.

B. The medication should applied repeatedly to provide analgesia

C. Washing the site with alcohol before applying the cream is not necessary and may cause unnecessary skin irritation.

D. Lidocaine and prilocaine cream typically require about 60 minutes to take effect.

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Correct Answer is A

Explanation

A. A toddler's repeated refusal to let a nurse perform a routine medical assessment may indicate fear or discomfort around adults, which could be a potential indicator of child abuse or neglect.

B. A mother's hesitation to comfort her 6-month-old infant may be due to various reasons, such as cultural differences, lack of confidence, or personal preferences. It is not necessarily indicative of child abuse.

C. Bruises on a toddler's knees are a common finding in active children who are learning to walk and explore their environment. While bruises should always be assessed, they are not automatically indicative of child abuse.

D. An 8-month-old infant crying when a parent leaves the room is a normal separation anxiety response for an infant of this age and is not indicative of child abuse. This behavior is part of normal infant development.

A. Apply baby powder under the harness straps daily. B. Massage lotion into the skin under the harness twice per day. C. Adjust the harness straps daily. D. Place the diaper under the straps of the harness.

Correct Answer is D

Explanation

A. Applying baby powder under the harness straps may cause irritation and should be avoided.

B. Massaging lotion into the skin under the harness is not necessary and may lead to skin irritation or interfere with the harness's function.

C. Adjusting the harness straps daily is important to ensure a proper fit as the infant grows.

D. Placing the diaper under the straps of the harness helps to prevent irritation and allows for a more secure fit of the harness. It also helps to keep the diaper in place.

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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 charge nurse is teaching a group of nurses about identifying child abuse. Which of the following findings should the nurse identify as a potential indicator of child abuse?

Correct Answer is A

Explanation

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Correct Answer is D

Explanation

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