A nurse is preparing to insert an IV catheter after applying an eutectic mixture of lidocaine and prilocaine (EMLA), a topical anesthetic cream. What action should the nurse take to maximize its therapeutic effect?

A. use the smallest amount of cream necessary to numb the skin surface
B. leave the cream on the skin for 1 to 2 hours before the procedure
C. cover the skin with a gauze dressing after applying the cream
D. rub a liberal amount of cream into the skin thoroughly


Answer: B. leave the cream on the skin for 1 to 2 hours before the procedure

Nursing

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Order: D5 ΒΌ NS 240 ml IV at 10 ml/h to infuse over 24 hours. The initial flow rate was correctly set at 10 mcgtt/min. After eight hours, 220 ml of IV fluid remains to be infused. The infusion is behind schedule

Compute the new flow rate in gtt/min. so that the infusion will finish on time. Note that flow rates may not be adjusted by more than 25% of the original rate. To what rate would you reset the drip rate, or would you contact the prescriber instead? 1. Contact the prescriber. 2. 13 gtt/min. 3. 14 gtt/min. 4. 9 gtt/min.

Nursing

If changes were implemented as a result of your audit, how would you know whether the changes were sustained into the future?

You have been assigned by your manager to investigate whether nurses in your operating suite are performing adequate hand hygiene before and after patient contact in the PACU in an effort to improve compliance and patient outcomes. You decide to conduct a practice audit. What will be an ideal response?

Nursing

A client, recovering from an extended illness, is having difficulty coordinating his movements to walk. The nurse should remind the client that skeletal muscle has which of the following normal properties?

1. It is automatic. 2. It is convulsive. 3. It is involuntary. 4. It is voluntary.

Nursing

The disoriented older adult should be discouraged from doing much for themselves, since the nursing assistant is there to provide care

True False

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