A patient has multiple lacerations following a motor vehicle accident. The nurse will be certain that lidocaine without epinephrine is used for local anesthesia when lacerations of which areas are repaired? Note: Credit will be given only if all correct choices and no incorrect choices are selected. Standard Text: Select all that apply
1. Laceration to the cheek
2. Laceration to the earlobe
3. Laceration to the end of the nose
4. Laceration on the top of the foot
5. Laceration on the fingertip
2,3,5
Rationale 1: There is no reason to avoid epinephrine when repairing a laceration to the cheek.
Rationale 2: Epinephrine should not be used in repair of areas with decreased blood flow, such as the earlobe.
Rationale 3: Epinephrine should not be used in repair of areas with decreased blood flow, such as the end of the nose.
Rationale 4: There is no reason to avoid epinephrine when repairing a laceration to the top of the foot.
Rationale 5: Epinephrine should not be used in repair of areas with decreased blood flow, such as the fingertip.
Global Rationale: Epinephrine should not be used in repair of areas with decreased blood flow, such as the earlobe, end of the nose, or fingertips. There is no reason to avoid epinephrine when repairing a laceration to the cheek or top of the foot.
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