The nurse is preparing to administer a combination hydrocortisone and pramoxine (Proctofoam), a local anesthetic, to a client with a fourth-degree episiotomy. Which interventions should the nurse...

The nurse is preparing to administer a combination hydrocortisone and pramoxine (Proctofoam), a local anesthetic, to a client with a fourth-degree episiotomy. Which interventions should the nurse implement? Rank in order of performance.

1. Position the client on the side with top leg up and forward.

2. Wash hands and don nonsterile examination gloves.

3. Check the client’s MAR with the identification band.

4. Ask the client if she is allergic to any “-caine” drugs.

5. Apply the Proctofoam to the perineal area.