The nurse is caring for a patient receiving lidocaine IV. Which factor is most relevant to administration of this medication?
A) Decrease in arterial oxygen saturation (SaO2) when measured with a pulse oximeter
B) Increase in systemic blood pressure
C) Presence of premature ventricular contractions (PVCs) on cardiac monitor
D) Increase in intracranial pressure (ICP)
Ans: C
Feedback: Lidocaine drips are commonly used to treat patients whose arrhythmias haven't been controlled with oral medication and who are having PVCs that are visible on the cardiac monitor. SaO2, blood pressure, and ICP are important factors but aren't as significant as PVCs in this situation.
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A patient is admitted to the CCU with active advance directives that include refusal of enteral feeding by tubes. When the physician writes an order for the insertion of a feeding tube, the nurse refuses to comply
This refusal is an example of adherence to what ethical principle? A) Nursing Practice Act B) Patient Bill of Rights C) Patient autonomy D) Patient advocacy
Which of these instructions should the nurse give to parents of children who have sickle-cell anemia?
a. Allow the child to lead a normal life. b. Have the child immunized with pneumococcal, meningococcal, and hepatitis B vaccines. c. Supplement the child's diet with oral iron drops. d. Seek symptomatic treatment before crises arise.
Express the dosage using the official symbol/abbreviation: 1 part drug to 100 parts solution
What will be an ideal response?
The nurse is caring for a preoperative patient. The patient asks the nurse what types of anesthesia cause a loss of sensation in a specific area of the body while the patient remains alert. Which of these responses should the nurse give?
(Select all that apply.) a. "Epidural anesthesia." b. "General anesthesia." c. "Local anesthesia." d. "Spinal anesthesia."