A nurse is monitoring a client who received a local injection of lidocaine. Which of the following responses should the nurse expect?

Ventricular fibrillation

Tachycardia

Client reports of increased pain in the area

Client reports of numbness in the area

Answer and Explanation

The Correct Answer is D

A. “Ventricular fibrillation”: Ventricular fibrillation is a serious cardiac rhythm disturbance that can be life-threatening. It is not a typical response to a local injection of lidocaine.

B. “Tachycardia”: Tachycardia, or a rapid heart rate, is not a typical response to a local injection of lidocaine. Lidocaine is a local anesthetic and does not typically affect heart rate.

C. “Client reports of increased pain in the area”: Lidocaine is a local anesthetic used to numb a specific area of the body. It should not cause increased pain in the area. If the client reports increased pain, it could indicate a problem such as an allergic reaction or infection.

D. “Client reports of numbness in the area”: This is the expected response to a local injection of lidocaine. Lidocaine works by blocking nerve signals in the body, which results in numbness or loss of feeling in the area where it was injected.

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Correct Answer is C

Explanation

A) "Refusing the injection means you will not get better."
This response may induce fear or anxiety in the client and is not therapeutic. It does not address the client's concerns and does not provide information about alternative treatment options.

B) "You should not feel anything more than a minor sting from the injection."
While this statement aims to reassure the client, it may not alleviate their fear of needles. Additionally, it may not accurately reflect the client's experience, as pain perception varies among individuals. Furthermore, focusing solely on the injection's pain level may not address the client's underlying fear of needles.

C) "I will discuss other treatment options with your provider."
This response acknowledges the client's fear of needles and indicates the nurse's willingness to explore alternative treatment options. It promotes open communication and collaboration between the nurse, client, and healthcare provider to find a suitable solution that addresses the client's concerns while effectively treating the infection.

D) "You must take this medication because there is no other option to treat this infection."
This response may increase the client's anxiety and resistance to treatment. It does not respect the client's autonomy or address their fear of needles. Additionally, there may be alternative treatment options available that the client could consider with the guidance of their healthcare provider.

A. Propafenone B. Metformin C. Prochlorperazine D. Simvastatin

Correct Answer is C

Explanation

A) Propafenone:
Propafenone is an antiarrhythmic medication used to treat irregular heartbeats. It is not indicated for the treatment of vomiting and may exacerbate gastrointestinal symptoms.

B) Metformin:
Metformin is an oral medication commonly used to treat type 2 diabetes. It is not indicated for the treatment of vomiting and may exacerbate gastrointestinal symptoms in some individuals.

C) Prochlorperazine:
Prochlorperazine is an antiemetic medication commonly used to treat nausea and vomiting. It works by blocking dopamine receptors in the brain, thereby reducing nausea and vomiting sensations. It is a suitable choice for treating severe vomiting in clients.

D) Simvastatin:
Simvastatin is a medication used to lower cholesterol levels and reduce the risk of cardiovascular events. It is not indicated for the treatment of vomiting and is unlikely to provide relief for this symptom.

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A nurse is monitoring a client who received a local injection of lidocaine. Which of the following responses should the nurse expect?

Nursing Test Bank

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