nerdexam
Test_Prep

NCLEX-RN · Question #37

The cardiac client who exhibits the symptoms of disorientation, lethargy, and seizures may be exhibiting a toxic reaction to:

The correct answer is B. Lidocaine (Xylocaine). (A) Side effects of digoxin include headache, hypotension, AV block, blurred vision, and yellow- (B) Side effects of lidocaine include heart block, headache, dizziness, confusion, tremor, lethargy, and convulsions. (C) Side effects of quinidine include heart block…

Physiological Integrity: Pharmacological and Parenteral Therapies

Question

The cardiac client who exhibits the symptoms of disorientation, lethargy, and seizures may be exhibiting a toxic reaction to:

Options

  • ADigoxin (Lanoxin)
  • BLidocaine (Xylocaine)
  • CQuinidine gluconate or sulfate (Quinaglute, Quinidex)
  • DNitroglycerin IV (Tridil)

How the community answered

(30 responses)
  • A
    3% (1)
  • B
    73% (22)
  • C
    17% (5)
  • D
    7% (2)

Explanation

(A) Side effects of digoxin include headache, hypotension, AV block, blurred vision, and yellow- (B) Side effects of lidocaine include heart block, headache, dizziness, confusion, tremor, lethargy, and convulsions. (C) Side effects of quinidine include heart block, hepatotoxicity, thrombocytopenia, and respiratory depression. (D) Side effects of nitroglycerin include postural hypotension, headache, dizziness, and flushing.

Topics

#lidocaine toxicity#CNS adverse effects#antiarrhythmic drugs#drug toxicity

Community Discussion

No community discussion yet for this question.

Full NCLEX-RN Practice