I assume by "lethal" you mean "highly reactive" as opposed to "poisonous".
Something that really wants to give away electrons and something that really wants to gain electrons are going to really get on well, and will be really stable.
Elemental sodium in the air spontaneously oxidises to sodium hydroxide which is nasty and caustic but the hydroxide layer spontaneously forms bicarb which is comparatively harmless. At a best guess, I'm not convinced a block of sodium not swallowed is lethal... (it will be extremely harmful)
If we ignore the dynamics of the explosion that seems enough to cause a maybe lethal explosion. It would also release 120dm^3 of hydrogen.