The client having a brief surgical procedure under a local anesthetic (mepivacaine) starts to have muscle twitching in both upper extremities. What is the nurse's best first action?
A. Notify the surgeon.
B. Document this expected response.
C. Cover the client with a warm blanket.
D. Apply soft restraints to the upper extremities.
A
Local anesthetic agents can be absorbed systemically. Muscle twitching is one indication of sys-temic absorption, which may lead to serious cardiopulmonary complications.
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