Nokea
An intravenous line is needed in a school-age child. What medication is an appropriate analgesic for use with this patient?
- A. TAC (tetracaine, epinephrine [Adrenalin], cocaine) 15 minutes before the procedure.
- B. A transdermal fentanyl (Duragesic) patch at the site of venipuncture.
- C. EMLA (eutectic mixture of local anesthetics) immediately before the procedure.
- D. LMX (4% liposomal lidocaine cream) 30 minutes before the procedure.
Correct Answer: D
Rationale: LMX is an effective analgesic agent when applied to the skin 30 minutes before a procedure. It eliminates or reduces the pain from most procedures involving skin puncture. TAC provides skin anesthesia about 15 minutes after application to nonintact skin, making it more suitable for wound suturing. Transdermal fentanyl patches are designed for continuous pain control, not rapid pain control needed for a procedure like venipuncture. EMLA, for maximum effectiveness, must be applied approximately 60 minutes before the procedure, making it less suitable for immediate pain relief required for intravenous line placement.
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Correct Answer: B
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
At a well-child visit, parents ask the nurse how to know if a daycare facility is a good choice for their infant. Which observation should the nurse stress as especially important to consider when making the selection?
- A. Developmentally appropriate toys
- B. Nutritious snacks served to the children
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- A. Give the child a computer-animated game that presents information on the management of chronic renal failure.
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Correct Answer: B
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- A. The infant responds to his own name.
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- C. The infant turns his head to the side when sound is made at the level of the ear.
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Correct Answer: C
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
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- A. After 2 months
- B. After 3 months
- C. After 4 months
- D. After 6 months
Correct Answer: D
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.