Prior to discharging a 24-hour-old newborn, the nurse assesses ...

[Anajune7]

Prior to discharging a 24-hour-old newborn, the nurse assesses her respiratory status. Which of the following would the nurse expect to assess?
 
  A) Respiratory rate 45, irregular
  B) Costal breathing pattern
  C) Nasal flaring, rate 65
  D) Crackles on auscultation

Question 2

The nurse is preparing to administer a topical anesthetic to a 10-year-old girl with a chin laceration. The nurse would expect to apply which of the following as ordered in preparation for sutures?
 
  A) TAC (tetracaine, epinephrine, cocaine)
  B) Iontophoretic lidocaine
  C) EMLA
  D) Vapocoolant spray

[ynlevi]

Answer to Question 1

A
Response:
Typically, respirations in a 24-hour-old newborn are symmetric, slightly irregular, shallow, and unlabored at a rate of 30 to 60 breaths/minute. The breathing pattern is primarily diaphragmatic. Nasal flaring, rates above 60 breaths per minute, and crackles suggest a problem.

Answer to Question 2

A
Response:
TAC (tetracaine, epinephrine, cocaine) is commonly used for lacerations that require suturing. The agent can be applied directly to the wound with a cotton ball or swab for 20 to 30 minutes until the area is numb. EMLA and iontophoretic lidocaine are applied to intact skin, not to open wounds or lacerations. A vapocoolant spray, which should not be applied over a wound, is effective for only 1 to 2 minutes.