The nurse is caring for an elderly patient in the PACU. The patient has had a bronchoscopy, and the nurse is monitoring for complications related to the administration of lidocaine
For what complication related to the administration of large doses of lidocaine in the elderly should the nurse assess?
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. The other listed signs and symptoms are not specific to this problem.
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