The nurse is preparing to administer a topical anesthetic for a 10-year-old girl with a chin laceration. The nurse would expect to apply what as ordered in preparation for sutures?
A) TAC (tetracaine, epinephrine, cocaine)
B) Iontophoretic lidocaine
C) EMLA
D) Vapocoolant spray
Ans: A
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 only effective for 1 to 2 minutes.
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The nurse is assessing a client's risk for impaired immune function. What assessment finding should the nurse identify as a risk factor for decreased immunity?
A) The patient takes a beta blocker for the treatment of hypertension. B) The patient is under significant psychosocial stress. C) The patient had a pulmonary embolism 18 months ago. D) The patient has a family history of breast cancer.
Organizations retain accountability for delegation. Some examples of organizational accountability for delegation are listed below. Which is not necessarily correct?
a. policies that acknowledge an RN's right to delegation with limited participation of all nurses b. providing sufficient resources including staffing with appropriate staff mix c. providing opportunity for continuous staff development d. creating an environment conducive to teamwork, collaboration, and patient-centered care
A 25-year-old radio announcer comes to the clinic for an annual examination. His BMI is 26.0 kg/m2. He is concerned about his weight. Based on this information, what is appropriate counsel for the patient during the visit?
A) Refer the patient to a nutritionist because he is anorexic. B) Reassure the patient that he has a normal body weight. C) Give the patient information about reduction of fat, cholesterol, and calories because he is overweight. D) Give the patient information about reduction of fat and cholesterol because he is obese.
A community/public health nurse was planning a prostate cancer screening in cooperation with the local community hospital. Whom should the nurse be sure to invite?
A. Adult men older than age 50 in the community B. All the people who had ever been involved with the local community hospital C. Anyone the nurse knew who had a history of cancer in their family D. Everyone in the community from infants to senior citizens