While caring for a toddler receiving oxygen via face mask, the nurse observes that the child's lips and nares are dry and cracked. Which intervention should the nurse implement?
Apply petroleum jelly to the child's nose and lips.
Use a topical lidocaine analgesic for cracked lips.
Ask the mother what she usually uses on the child's lips and nose.
Use a water soluble lubricant on affected oral and nasal mucosa.
The Correct Answer is D
Choice A reason: Applying petroleum jelly is not recommended because it is not water-soluble and can potentially be inhaled into the lungs, posing a risk.
Choice B reason: Using a topical lidocaine analgesic is not suitable for cracked lips and nares, as it is intended for pain relief rather than moisturizing.
Choice C reason: Asking the mother what she usually uses on the child's lips and nose is helpful for gathering information but does not provide an immediate intervention.
Choice D reason: Using a water soluble lubricant is appropriate because it helps to moisturize the dry and cracked areas without posing a risk of inhalation, ensuring the child's comfort and safety.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Choice A reason: Observing for jugular vein distention is important but not the immediate intervention.
Choice B reason: Monitoring oxygen saturation is necessary but secondary to preparing for pericardiocentesis.
Choice C reason: Pericardiocentesis is the definitive treatment for cardiac tamponade, and notifying the healthcare provider to prepare for this procedure is the most important intervention.
Choice D reason: Assessing for paradoxical blood pressure helps confirm cardiac tamponade but does not address the immediate need for treatment.
Correct Answer is D
Explanation
Choice A reason: Printing the EMR from the backup server may not be feasible without first addressing the system failure.
Choice B reason: Waiting for notification without taking action can delay patient care documentation.
Choice C reason: Identifying information as late entry is important but secondary to notifying the appropriate department to address the system issue.
Choice D reason: Notifying the information services department ensures that the issue is addressed promptly and appropriately.
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