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A preschool-age child has moderate dehydration and needs a rapid bolus of fluids. To provide atraumatic care and administer fluids most effectively, what action will the nurse take?

Answer :

The nurse will option D: Use a powdered lidocaine preparation prior to insertion of the intravenous needle.

Using topical analgesics prior to IV injections is one way to guarantee atraumatic care. Using powdered lidocaine preparations can help patients feel less pain and anxious during invasive procedures like venipuncture. Only when applied 1 to 2.5 hours before IV injection is EMLA helpful. Both the youngster and the parents may experience tension and worry when asked to restrain the child during a painful operation. Long after the NG tube has been inserted, the NG fluids are traumatising and painful. Thus, option D marks the right choice.

The treatment of acute postoperative pain with intravenous patient-controlled analgesia (IV PCA) is generally regarded as the gold standard. The maximum permissible hourly dose, lockout time, infusion rate, and bolus volume are all under the ordering physician's control.

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Complete question is:

A preschool-age child has moderate dehydration and needs a rapid bolus of fluids. to provide atraumatic care and administer fluids most effectively, what action will the nurse take?

a. Apply a eutectic mixture of local anesthetic (EMLA) just before inserting an intravenous line.

b. Ask the child's parents to restrain the child during venipuncture so fluids may be administered.

c. Request an order for nasogastric (NG) fluids to avoid the trauma of venipuncture.

d. Use a powdered lidocaine preparation prior to insertion of the intravenous needle.