Author Question: The nurse is assisting while the physician is suturing a wound in the urgent care clinic. The ... (Read 9 times)

809779 · **on:** Jul 23, 2018

The nurse is assisting while the physician is suturing a wound in the urgent care clinic. The physician asks for lidocaine with epinephrine. The nurse identifies the primary reason for adding epinephrine to the lidocaine is what effect?

A) It will sting more when it is injected into the tissue.
B) Risk of systemic absorption is increased.
C) Local effect is increased.
D) Bleeding at the wound site is increased.

Question 2

The nurse is caring for a 5-year-old child diagnosed with hypothyroidism whose mother voices skepticism about giving the child drugs.

In explaining the need for medication, what will the nurse tell this mother could result if her daughter's condition remains untreated so she can make an informed decision? A) Mental retardation
B) Renal dysfunction
C) Immune deficiency
D) Paralytic ileus

katara · **Reply #1 on:** Jul 23, 2018

Answer to Question 1

C
Feedback:
There is less risk of systemic absorption and increased local effects if these drugs are combined with epinephrine. Epinephrine causes vasoconstriction, which reduces bleeding, slows absorption, and makes the duration of effect longer. It does sting more when injected, but that is not a reason to use it.

Answer to Question 2

A
Feedback:
Children who are born without a thyroid gland or who have a nonfunctioning gland develop a condition called cretinism. If untreated, these children will have poor growth and development and mental retardation because of the lack of thyroid hormone stimulation. The child would not be at increased risk of renal dysfunction, immune deficiency, or paralytic ileus.