A patient with ventricular arrhythmias is receiving lidocaine (Xylocaine). For which of the fol-lowing adverse effects should the health care provider periodically assess the client?

a. Drowsiness, confusion, and stinging at the injection site
b. Nystagmus, ataxia, and slurred speech
c. Dry mouth, blurred vision, and urinary retention
d. Lightheadedness, dizziness, and nausea


ANS: A
The most common adverse effects of lidocaine are drowsiness, confusion, and stinging at the in-jection site.

Nursing

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The nurse is caring for an older client who lives with his daughter and is asked by the daughter what the morning lab results were. The nurse's best response is:

1. "Just a minute. Let me just get his chart." 2. "The doctor will give you the results when he visits." 3. "Let me get my instructor to see if it is alright to do this." 4. "I cannot legally share that information unless your father consents."

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A child has been diagnosed with attention deficit hyperactivity disorder (ADHD). Which of the following would be the most evaluative for a child diagnosed with ADHD?

A) Consistent decrease in disruptive and dangerous behaviors B) Decrease in impulsive behaviors C) Improvement in satisfying relationships D) Decrease in harm toward others

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A nurse is teaching a group of hospitalized clients who have co-occurring disorders involving cognitive disorders and alcoholism about the relapse cycle. Which statement would the nurse most likely include during this teaching session?

A) "After you are discharged, there is a tendency to use alcohol rather than your prescribed medications to self-medicate your psychiatric symptoms. This allows your psychiatric symptoms to surface again, and they, in turn, lead to rehospitalization. Your symptoms are again controlled with medications until you are discharged, and the cycle starts all over again." B) "Your alcoholism causes you to hallucinate, and you need to take prescribed medications to control the hallucinations. When you try to stop drinking and stay abstinent, your hallucinations disappear; consequently, you stop taking your prescribed medications because they're gone. Then you celebrate with alcohol, and this triggers a relapse; the alcoholism causes hallucinations, and the whole thing starts over again." C) "Your dependence on alcohol and your psychiatric illness are unrelated. Experiencing disturbing thoughts does not cause alcoholism, and alcoholism does not cause your disturbing thoughts. It all boils down to medication compliance." D) "The cycle is triggered by repeated attempts to stop drinking. Without the levels of alcohol your system has come to tolerate, you begin to develop psychiatric symptoms. Then you have to be hospitalized and treated for your psychosis again. Everything is fine until the next time you try to stop drinking, and then the cycle repeats itself."

Nursing

A client with known peptic ulcer disease is placed on a clear-liquid diet pending an endoscopy. What proton pump inhibitor can be given in a liquid form to this client?

1. Famotidine (Pepcid) 2. Ranitidine (Zantac) 3. Lansoprazole (Prevacid) 4. Esomeprazole (Nexium)

Nursing