A patient undergoing spinal surgery is receiving low-dose intravenous lidocaine prior to surgery. The patient reports being lightheaded and having numbness in his tongue. What nursing action is indicated?
1. Increase the rate of the lidocaine drip.
2. Give a 250-mL normal saline bolus intravenously.
3. Discontinue the lidocaine drip.
4. Start intravenous lipids at an infusion frat of 1.5 mL/kg/min.
Answer: 3
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A client is seen at the ambulatory care clinic for a routine physical examination
During the examination, the client discusses having gained more than 25 pounds in the past year despite not changing the level of activity or dietary intake. What response by the nurse is the most appropriate? 1. "You must be eating more than you realize." 2. "Do you think increasing exercise might help you with your excessive weight gain?" 3. "Tell me about any changes in your stress levels." 4. "This weight gain is likely the result of aging."
An important component of relapse management is:
1. Using a holistic view of the system 2. Identifying triggers 3. Understanding the individual's personality 4. Providing crisis intervention
A secondary school teacher with advanced multiple sclerosis insists on teaching from a wheel-chair and being treated the same as other colleagues. The teacher is demonstrating which of the following?
1. Prizing her choice 2. Choosing from alternatives 3. Considering all consequences 4. Acting with a pattern of consistency
Which of the following nursing notations shows the best understanding regarding the need to document only objective client assessment data?
1. "Client was angry because breakfast was not to her liking." 2. "Client is depressed; was observed crying while alone in room." 3. "Client expressed pain as an 8 out of 10, was diaphoretic, guarding her abdomen and clenching her fists." 4. "Client was verbally abusive to staff when approached concerning client's con-tinued attempts to smoke in the bathroom."