A lumbar puncture is needed on a school-age child. The most ...

[schs14]

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.

[deja]

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]

Correct answers!

[deja]

Great! Please up vote