Difficulty: Medium
Average Score: 83%
Full-length
Following mitral valve replacement surgery a client develops PVC's. The health care provider orders a bolus of Lidocaine followed by a continuous Lidocaine infusion at a rate of 2 mg/minute. Which finding indicates that the client is experiencing lidocaine toxicity?
Correct answer
D
Rationale
No measurable voiding in 4 hours. The concern is possible hyperkalemia, which could occur with continued potassium administration and a decrease in urinary output since potassium is excreted via the kidneys.