A nurse is planning to provide topical analgesia to numb the site prior to a scheduled lumbar puncture for a preschool-age child. Which of the following actions should the nurse plan to take? (Select all that apply.)

A. A transdermal fentanyl patch is not appropriate for this situation, especially for a short procedure, as it requires time to reach therapeutic levels. B. Applying EMLA cream (lidocaine/prilocaine) at least an hour prior to the procedure helps numb the skin, making the lumbar puncture less painful. C. Offering a cup of juice and crackers can help distract the child and provide comfort during the waiting period. D. Sedation is not typically necessary for a lumbar puncture in a preschool-age child unless there are specific concerns, and it is usually done with caution. E. Placing tegaderm is unnecessary for the back area where the lumbar puncture will occur and does not contribute to pain management.