Nokea
A nurse is caring for a client who has been prescribed lidocaine viscous to be used for pain control of the oral mucosa. Which of the following instructions regarding the intake of food should the nurse give the client?
- A. Drink plenty of water along with food.
- B. Avoid intake of heavy and fibrous food.
- C. Ensure the food is not too hot or cold.
- D. Do not eat food for 1 hour after use.
Correct Answer: D
Rationale: When lidocaine viscous is used for oral anesthesia to control pain, the nurse instructs the client not to eat food for 1 hour after use because local anesthesia of the mouth or throat may impair swallowing and increase the possibility of aspiration.
You may also like to solve these questions
Which of the following might nurses use to clean their hands before and after caring for a client? Select all that apply.
- A. Chlorhexidine (Hibiclens)
- B. Fluocinonide (Lidex)
- C. Hexachlorophene (pHisoHex)
- D. Imiquimod (Aldara)
- E. Ketoconazole (Nizoral)
Correct Answer: A,C
Rationale: Topical antiseptics, like chlorhexidine (Hibiclens) and hexachlorophene (pHisoHex), can be used by nurses to clean their hands before and after caring for a client.
After teaching a group of nursing students about topical drugs for skin disorders, the instructor determines that the teaching was successful when the students identify which of the following as used to prevent institutional outbreaks of methicillin-resistant Staphylococcus aureus (MRSA)?
- A. Bacitracin
- B. Mupirocin
- C. Retapamulin
- D. Clindamycin
Correct Answer: B
Rationale: Mupirocin is applied to the nasal mucosa to reduce the risk of institutional outbreaks of MRSA, as it effectively targets nasal colonization of the bacteria.
A nurse may use a topical antiseptic or germicide for which of the following reasons? Select all that apply.
- A. To reduce the number of bacteria on skin surfaces
- B. As a surgical scrub
- C. As a preoperative skin cleanser
- D. For washing the hands before and after caring for clients
- E. On minor cuts and abrasions to prevent infection
Correct Answer: A,B,C,D,E
Rationale: A nurse may use a topical antiseptic or germicide for the following reasons: to reduce the number of bacteria on skin surfaces, as a surgical scrub, as a preoperative skin cleanser, for washing the hands before and after caring for clients, and on minor cuts and abrasions to prevent infection.
After conducting an in-service program for a group of nurses about topical drugs used to treat skin disorders, the presenter determines that the teaching was successful when the group identifies which of the following as an appropriate use for topical enzymes? Select all that apply.
- A. Widespread psoriasis
- B. Chronic dermal ulcers
- C. First-degree sunburn
- D. Severely burned areas
- E. Tinea pedis
Correct Answer: B,D
Rationale: A nurse may apply a topical enzyme to a client with chronic dermal ulcers or severely burned areas. Topical enzymes are not used for widespread psoriasis, first-degree sunburn, or tinea pedis.
A client is prescribed topical benzocaine. The nurse would monitor the client for which of the following as a possible adverse reaction?
- A. Stinging, tenderness, and sloughing
- B. Erythema, flaking, and dryness
- C. Transient burning sensation
- D. Oiliness or dryness of hair
Correct Answer: A
Rationale: The nurse should monitor for stinging, tenderness, and sloughing in the client as adverse reactions to benzocaine. Erythema, flaking, and dryness are adverse reactions to masoprocol. A transient burning sensation is an adverse reaction to collagenase. Oiliness or dryness of the hair is an adverse reaction to selenium sulfide.