A nurse in a coronary care unit is admitting a client who has had CPR following a cardiac arrest. The client is receiving lidocaine IV at 2 mg/min. When the client asks the nurse why he is receiving that medication, the nurse should explain that it has which of the following actions?
Prevents dysrhythmias
Relieves pain
Dissolves blood clots
Slows intestinal motility
The Correct Answer is A
Choice A reason: Lidocaine is an antiarrhythmic medication that stabilizes the cardiac membrane and suppresses abnormal electrical impulses in the heart. It is used to treat ventricular dysrhythmias, such as ventricular tachycardia and ventricular fibrillation, which can occur after a cardiac arrest.
Choice B reason: Lidocaine is not primarily used to relieve pain, although it has local anesthetic properties. It is not effective for chest pain caused by myocardial ischemia or infarction.
Choice C reason: Lidocaine does not dissolve blood clots, nor does it prevent their formation. It has no anticoagulant or thrombolytic effects.
Choice D reason: Lidocaine does not slow intestinal motility, nor does it affect the gastrointestinal system. It has no antispasmodic or antidiarrheal effects.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Choice A reason: Vitamin K is the antidote for warfarin, not heparin. Vitamin K reverses the effects of warfarin by increasing the synthesis of clotting factors in the liver.
Choice B reason: Glucagon is the antidote for insulin, not heparin. Glucagon increases the blood glucose level by stimulating the breakdown of glycogen in the liver.
Choice C reason: Protamine is the antidote for heparin, not vitamin K or glucagon. Protamine neutralizes the effects of heparin by binding to it and forming a stable complex.
Choice D reason: Iron is not an antidote for any anticoagulant. Iron is a mineral that is essential for the production of hemoglobin and red blood cells.
Correct Answer is B
Explanation
Choice A reason: Ataxia is not a manifestation of digoxin toxicity, as it does not affect the coordination or balance of the client. Ataxia may be caused by other factors, such as cerebellar disorders, alcohol intoxication, or medication interactions.
Choice B reason: Anorexia is a manifestation of digoxin toxicity, as it affects the appetite and digestion of the client. Anorexia may be accompanied by nausea, vomiting, or abdominal pain, which are also signs of digoxin toxicity. Anorexia may lead to weight loss, dehydration, or electrolyte imbalance, which can worsen the condition of the client.
Choice C reason: Photosensitivity is not a manifestation of digoxin toxicity, as it does not affect the skin or the eyes of the client. Photosensitivity may be caused by other factors, such as sun exposure, allergies, or medication interactions.
Choice D reason: Jaundice is not a manifestation of digoxin toxicity, as it does not affect the liver or the bilirubin level of the client. Jaundice may be caused by other factors, such as liver disease, gallstones, or hemolysis.
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