An older adult patient with frequent premature ventricular contractions (PVCs) is receiving intravenous (IV) lidocaine (Xylocaine) by continuous infusion. The patient becomes confused and sees insects on the walls
What is the nurse's best action? a. Reorient the patient to person, place, and time.
b. Ask the patient's family about alcohol use or abuse.
c. Check the patient's chart for a history of dementia.
d. Notify the prescriber immediately.
D
With older adults, signs of confusion may indicate lidocaine toxicity. Older adults are more sen-sitive to the effects and side effects of this drug. Notify the prescriber immediately; the drug must be stopped and the patient started on another antidysrhythmic drug to prevent life-threatening dysrhythmias such as ventricular tachycardia. Once the drug is discontinued and metabolized, these symptoms will resolve.
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A nurse who is left-handed is applying sterile gloves for a procedure. What is the correct procedure for this nurse?
a. Glove the left hand first by grasping 2-inch cuff with thumb and the first two fingers of the right hand. b. Glove right hand first by grasping 2-inch cuff with thumb and the first finger of the left hand. c. Glove either hand first by grasping 2-inch cuff with thumb and the first two fingers of the right hand. d. Glove the left hand first by grasping 2-inch cuff with thumb and the second finger of the right hand.
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A history and assessment of a patient with normal pressure hydrocephalus will most likely reveal:
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