The emergency department nurse is administering IV lidocaine to a ...

[swpotter12]

The emergency department nurse is administering IV lidocaine to a patient. What adverse effect of lidocaine therapy should the nurse assess for?
 
  A) Dysphagia
  B) Dizziness
  C) Excessive bruising
  D) Tinnitus

Question 2

A patient calls the clinic and asks to speak to a nurse. The patient questions the nurse about the use of a drug that was advertised on TV.
 
  The patient tells the nurse he or she is sure that the drug will make him or her feel the same way as described in the commercial. What response is most appropriate for the nurse to make? A) I'm glad that you want to be involved in treatment decisions but you are not qualified to decide what medications are best for your condition.
  B) It's important to remember that drug advertisements emphasize the positive effects of drug therapy and not the adverse effects or contraindications.
  C) You need to remember that the drugs being advertised are much more expensive than other drugs that have the same effect.
  D) I've seen those advertisements and I would want to take that medication too if I had the condition it was designed to treat.

[kardosa007]

Answer to Question 1

B
Feedback:
Adverse effects include dizziness, light-headedness, fatigue, arrhythmias, cardiac arrest, nausea, vomiting, anaphylactoid reactions, hypotension, and vasodilation. Dysphagia, bruising, and tinnitus are not usually associated with lidocaine.

Answer to Question 2

B
Feedback:
It would be important for the nurse to remind the patient that advertisements always emphasize the positive effects of drug therapy. The patient should not be discouraged from contributing to the plan of care by being told she is not adequately qualified to make decisions because no one is more qualified to make decisions about her own body. Although the drug may be more expensive, this is not a reason to choose or avoid a medication that could be more effective. Agreeing with the patient is not meeting the nurse's obligation to teach and inform.

[swpotter12]

TY

[kardosa007]

You're welcome