The patient receives lidocaine as a local anesthetic before insertion of a chest tube. After the procedure the patient tells the nurse, "The area is still numb. How long will this last?" What is the nurse's best response?
A) 15 minutes
B) 1 hour
C) 2 hours
D) 4 hours
C
Feedback:
The onset of intramuscular lidocaine is 5 to 10 minutes, peaks within 5 to 15 minutes, and the duration of action is 2 hours. Options A, B, and D are distracters.
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The nurse is preparing to create a pedigree. How should the nurse instruct the client about filling out a standard family history form?
1. "Complete this information form about your family." 2. "Complete this form about your children and husband." 3. "Complete this form about your family living at home." 4. "Complete this form on as many of your blood relatives as you can."
The nurse suctions the patient's artificial airway. For which adverse effect related to suctioning should the nurse monitor during the procedure?
a. Fatigue b. Anxiety c. Coughing d. Dysrhythmias
The nurse prepares to administer medication in 100 ml of normal saline solution. Which does the nurse implement to mix the medication?
1. Insert the medication into the port for IV tubing. 2. Inject medication through cleansed injection port. 3. Label medication bag using a felt-tip marker. 4. Mix medication for 10 seconds by shaking IV bag.
Which nursing actions could the nurse delegate to a licensed practical/vocational nurse (LPN/LVN) who is part of the team caring for a patient with Alzheimer's disease (select all that apply)?
a. Develop a plan to minimize difficult behavior. b. Administer the prescribed memantine (Namenda). c. Remove potential safety hazards from the patient's environment. d. Refer the patient and caregivers to appropriate community resources. e. Help the patient and caregivers choose memory enhancement methods. f. Evaluate the effectiveness of the prescribed enteral feedings on patient nutrition.