A primary care NP is preparing to irrigate and suture a laceration on a patient's thumb. To anesthetize the site, the NP should use:
a. lidocaine hydrochloride.
b. lidocaine with epinephrine.
c. bupivacaine hydrochloride.
d. bupivacaine with epinephrine.
B
Vasoconstrictors, such as epinephrine, help to prolong local anesthetic action by decreasing systemic absorption, but they are not safe to use at the ends of arteries in fingers, toes, the nose, or the penis. Lidocaine is an intermediate-acting local anesthetic and, when used without epinephrine, is appropriate to use on a thumb. Bupivacaine is a very long-acting anesthetic and is not needed for a short procedure.
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? 1. "The client's intracranial pressure dictates how high I position the head of the bed.". 2. "I am careful to elevate the head of the client's bed to 30 degrees.". 3. "The most controllable factor in managing intracranial pressure (ICP) is head elevation.". 4. "I elevate the client's head when the intracranial pressure is increasing.".
Prepare an 80 mg dose from a label reading 100 mg/5mL
What will be an ideal response?
One or 2 days after a myocardial infarction, patients are likely to best tolerate
a. a clear liquid diet. b. mostly cold foods. c. small, frequent meals. d. three moderate meals a day.