The nurse is preparing discharge teaching for the parents of a ...

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The nurse is preparing discharge teaching for the parents of a school-age child who was recently receiving patient-controlled analgesia.
 
  What should the nurse include when teaching the parents about pain management for this patient? (Select all that apply.) A) Dosing of pain medication
  B) Frequency of pain medication
  C) Expected level of pain relief
  D) Contact number to call with questions
  E) Technique to insert an intravenous line

Question 2

The nurse is preparing to provide a preschool-age child with an injection. Which technique should the nurse use when applying EMLA cream to the injection site?
 
  A) Apply it at least 1 hour before the procedure.
  B) Wipe it off at least 15 minutes before the procedure.
  C) Apply it immediately prior to the painful procedure.
  D) Do not cover it after application to prevent it from discoloring.

[T4T]

Answer to Question 1

A, B, C, D
Feedback:
For ongoing care, the nurse should ensure that children and parents are provided with support and follow-up to the extent necessary to continue adequate pain management in the home. Parents should be given instructions on dosing, administration, frequency, expected outcomes, and expected level of relief. Provide them with the name and telephone number of a health care professional whom they can call if they have questions about pain management. The parents are not responsible for inserting an intravenous line.

Answer to Question 2

A
Feedback:
EMLA is a topical anesthetic cream containing lidocaine and prilocaine. The nurse should apply a dollop of the cream on the intended site at least 1 hour before the injection. The cream should be removed immediately before the injection. The cream needs time to work so applying immediately before the injection will not help reduce pain. The cream is covered to keep it secure over the intended area. The cream will not discolor when covered.

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