A patient is admitted to the emergency room with a ventricular dysrhythmia associated with an acute myocardial infarction. The physician has ordered a bolus of lidocaine IV
What assessment should the nurse make prior to administering this medication? A) Assess for lidocaine administration in the patient's history.
B) Determine the patient's ability to swallow.
C) Assess the patient's nutritional history for allergies.
D) Determine if the patient has had a reaction to local anesthesia.
D
Feedback:
Lidocaine is contraindicated in patients allergic to local anesthetic agents. It is important to determine if the patient has been administered lidocaine in the past, but it is imperative to ascertain any untoward effects. The medication will be administered intravenously, so it is not necessary to assess the patient's ability to swallow. However, swallowing can be impaired after administration and should be assessed. It is not necessary to do a nutritional assessment at this time.
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