This topic contains a solution. Click here to go to the answer
« previous next »

Author Question: A lumbar puncture is needed on a school-age child. The most appropriate action to provide analgesia ... (Read 23 times)

schs14

  • Hero Member
  • *****
  • Posts: 569
on: Jun 28, 2018
A lumbar puncture is needed on a school-age child. The most appropriate action to provide analgesia during this procedure is to apply:
 
  a. 4 Liposomal Lidocaine (LMX) 15 minutes before the procedure.
  b. A transdermal fentanyl (Duragesic) patch immediately before the procedure.
  c. Eutectic mixture of local anesthetics (EMLA) 1 hour before the procedure.
  d. EMLA 30 minutes before the procedure.

Question 2

When pain is assessed in an infant, it is inappropriate for the nurse to assess for:
 
  a. Facial expressions of pain. c. Crying.
  b. Localization of pain. d. Thrashing of extremities.


Related Topics

Need homework help now?

Ask unlimited questions for free

Ask a Question
Marked as best answer by a Subject Expert

deja

  • Sr. Member
  • ****
  • Posts: 332
Reply #1 on: Jun 28, 2018
Answer to Question 1

ANS: C
EMLA is an effective analgesic agent when applied to the skin 60 minutes before a procedure. It eliminates or reduces the pain from most procedures involving skin puncture. LMX must be applied 30 minutes before the procedure. Transdermal fentanyl patches are useful for continuous pain control, not rapid pain control. For maximal effectiveness, EMLA must be applied approximately 60 minutes in advance.

Answer to Question 2

ANS: B
Infants are unable to localize pain. Frowning, grimacing, and facial flinching in an infant may indicate pain. Infants often exhibit high-pitched, tense, harsh crying to express pain. Infants may exhibit thrashing of extremities in response to a painful stimulus.


schs14

  • Hero Member
  • *****
  • Posts: 569
Reply #2 on: Jun 28, 2018
Correct answers!


deja

  • Sr. Member
  • ****
  • Posts: 332
Reply #3 on: Jun 28, 2018
Great! Please up vote :D


« previous next »
 

Did you know?

It is believed that the Incas used anesthesia. Evidence supports the theory that shamans chewed cocoa leaves and drilled holes into the heads of patients (letting evil spirits escape), spitting into the wounds they made. The mixture of cocaine, saliva, and resin numbed the site enough to allow hours of drilling.

Did you know?

Vital signs (blood pressure, temperature, pulse rate, respiration rate) should be taken before any drug administration. Patients should be informed not to use tobacco or caffeine at least 30 minutes before their appointment.

Did you know?

Blood in the urine can be a sign of a kidney stone, glomerulonephritis, or other kidney problems.

Did you know?

Cocaine was isolated in 1860 and first used as a local anesthetic in 1884. Its first clinical use was by Sigmund Freud to wean a patient from morphine addiction. The fictional character Sherlock Holmes was supposed to be addicted to cocaine by injection.

Did you know?

Between 1999 and 2012, American adults with high total cholesterol decreased from 18.3% to 12.9%

A Child with a Cochlear Implant A Child with a Cochlear Implant
This girl ran four spinning machines in a cotton mill in Whitnel, North Carolina. Only 4 feet, 3 inc This girl ran four spinning machines in a cotton mill in Whitnel, North Carolina. Only 4 feet, 3 inc
The phases and ionic basis of an action potential. The phases and ionic basis of an action potential.
Action of the DNA uracil repair system Action of the DNA uracil repair system
Farmers’ markets provide fresh, local produce to consumers Farmers’ markets provide fresh, local produce to consumers
Comparison of the action spectrum and the absorption spectrum Comparison of the action spectrum and the absorption spectrum
Video: Natural Selection, Species Isolation and Real World Example

For a complete list of videos, visit our video library