The nurse caring for an elderly patient in the PACU after a bronchoscopy is monitoring for complications related to the administration of lidocaine
the elderly as:
A) Decreased urine output and hypertension
B) Headache and vision changes
C) Confusion and lethargy
D) Jaundice and elevated liver enzymes
Ans: C
Feedback: Lidocaine may be sprayed on the pharynx or dropped on the epiglottis and vocal cords and into the trachea to suppress the cough reflex and minimize discomfort during a bronchoscopy. After the procedure, the nurse will assess for confusion and lethargy in the elderly, which may be due to the large doses of lidocaine administered during the procedure.
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