The nurse is caring for a client who receives a prescription for parenteral lidocaine. Prior to administering the medication, the nurse should review the medical record for which condition?
Diabetes mellitus.
Heart block.
Gastric ulcers.
Glaucoma.
The Correct Answer is B
A. Diabetes mellitus: While diabetes mellitus can affect circulation and healing, it is not a direct contraindication for the use of lidocaine. However, monitoring for effects on circulation and neuropathy may be necessary in diabetic patients.
B. Heart block: Lidocaine is a local anesthetic that can have systemic effects, especially on the cardiovascular system. It can cause conduction abnormalities, including heart block, so it is crucial to assess for this condition before administering lidocaine to avoid exacerbating cardiac issues.
C. Gastric ulcers: Lidocaine's effects are primarily cardiac and neurological, and it does not have a known adverse effect on gastric ulcers that would require pre-administration review. This condition is more relevant for oral medications that can irritate the gastric mucosa.
D. Glaucoma: Lidocaine does not have a significant effect on intraocular pressure or glaucoma. The main concern with lidocaine is its effect on the heart and nervous system, rather than its impact on eye conditions.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. Encourage the parent to apply lotion with each diaper change: Lotions are not usually recommended for diaper rash as they can trap moisture against the skin, worsening irritation. Barrier creams (like zinc oxide) are preferred.
B. Instruct the parent to change the child's diaper more often: Frequent diaper changes help keep the area dry and clean, reducing skin irritation and promoting healing, especially when there's no sign of infection or allergy.
C. Ask the parent to decrease the infant's intake of fruits for 24 hours: There’s no indication that diet is contributing to the rash, especially since there are no watery stools or other signs of gastrointestinal upset.
D. Tell the parent to cleanse with soap and water at each diaper change: Using soap can dry or irritate already sensitive skin. Plain water or gentle wipes without alcohol/fragrance are preferred for cleaning the area.
Correct Answer is C
Explanation
A. "Tomorrow I will talk to that nurse about how you were treated last night": This may reinforce the client's black-and-white thinking by validating their perception without exploring the situation. It could also create further conflict or confusion.
B. "I am happy that you are getting better and will be able to go home": This response doesn't address the client's concern and does not help manage the client's dichotomous thinking. It is important to validate the client's feelings and address the issue at hand.
C. "What did the night nurse do that makes you think the nurse is aloof?": This response explores the client's perception in a non-judgmental manner. It encourages the client to reflect on the situation and provides an opportunity for the nurse to gain insight into the client's thought process, helping to address the dichotomous thinking.
D. "I am glad you like me. Which nurse was acting aloof to you?": This response may reinforce the client's idealization of the current nurse and devaluation of the night nurse. It does not address the underlying issue of the client's perception and could encourage further splitting.
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