The nurse is caring for a patient in the cardiac care unit who is receiving lidocaine. The patient appears confused and drowsy and complains of numbness and tingling. During the physical assessment, the patient begins having convulsions
The nurse should prepare for immediate intravenous administration of
a. digoxin (Lanoxin).
b. diazepam (Valium).
c. verapamil (Calan).
d. quinidine.
ANS: B
The patient is displaying signs and symptoms of lidocaine toxicity, which is managed with diazepam or phenytoin.
Digoxin, verapamil, and quinidine are not indicated for the management of lidocaine toxicity.
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