A nurse is monitoring a client who received a local injection of lidocaine. Which of the following responses should the nurse expect?

Ventricular fibrillation

Tachycardia

Client reports of increased pain in the area

Client reports of numbness in the area

Answer and Explanation

The Correct Answer is D

A. “Ventricular fibrillation”: Ventricular fibrillation is a serious cardiac rhythm disturbance that can be life-threatening. It is not a typical response to a local injection of lidocaine.

B. “Tachycardia”: Tachycardia, or a rapid heart rate, is not a typical response to a local injection of lidocaine. Lidocaine is a local anesthetic and does not typically affect heart rate.

C. “Client reports of increased pain in the area”: Lidocaine is a local anesthetic used to numb a specific area of the body. It should not cause increased pain in the area. If the client reports increased pain, it could indicate a problem such as an allergic reaction or infection.

D. “Client reports of numbness in the area”: This is the expected response to a local injection of lidocaine. Lidocaine works by blocking nerve signals in the body, which results in numbness or loss of feeling in the area where it was injected.

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Correct Answer is C

Explanation

A. “Administer the medication in a negative pressure room”: Administering the medication in a negative pressure room is not typically necessary when handling hazardous IV medications. Negative pressure rooms are primarily used for airborne precautions, such as tuberculosis or varicella.

B. “Administer the medication while wearing protective footwear”: While protective footwear can be important in certain situations, it’s not typically necessary when administering hazardous IV medications. The primary concern is preventing direct contact with the skin or mucous membranes.

C. “Wear gloves when handling the medication”: Wearing gloves is a standard precaution when handling hazardous medications. Gloves protect the skin from direct contact with the medication, reducing the risk of absorption through the skin.

D. “Wear an N95 respiratory mask when administering the medication”: An N95 respiratory mask is not typically necessary when administering hazardous IV medications. These masks are primarily used for airborne precautions. While some hazardous medications may require respiratory protection, it’s not a standard requirement for all hazardous IV medications.

A. Ginkgo biloba B. Zinc C. Calcium D. Vitamin C

Correct Answer is C

Explanation

A) Ginkgo biloba:
While there are potential interactions between ginkgo biloba and certain medications due to its effects on platelet function and blood flow, there are no specific interactions reported between ginkgo biloba and levothyroxine. However, it is always prudent to monitor for any adverse effects or interactions when combining medications and supplements.

B) Zinc:
Zinc supplements are not known to interfere with the absorption of levothyroxine. There are no specific recommendations to separate the administration of zinc supplements from levothyroxine. However, like with any supplement, it is essential to follow healthcare provider recommendations and monitor for any adverse effects.

C) Calcium:
Calcium supplements, particularly those containing calcium carbonate or calcium citrate, can interfere with the absorption of levothyroxine if taken simultaneously. Therefore, it is recommended to wait at least 4 hours after taking levothyroxine before consuming calcium supplements.

D) Vitamin C:
Vitamin C supplements are also not known to interfere significantly with the absorption of levothyroxine. There are no specific guidelines recommending a separation between the administration of vitamin C and levothyroxine. However, as with all supplements, it is essential to follow healthcare provider recommendations and monitor for any adverse effects.

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A nurse is monitoring a client who received a local injection of lidocaine. Which of the following responses should the nurse expect?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is preparing to administer a hazardous IV medication to a client. Which of the following actions should the nurse take?

Correct Answer is C

Explanation

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Correct Answer is C

Explanation

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