A client has received spinal anesthesia. The nurse obtains a blood pressure reading of 72/56 mL/Hg. The nurse will

Continue to monitor blood pressure

Assess for headache

Administer oxygen by nasal cannula

Elevate the client's feet

Answer and Explanation

The Correct Answer is A

Choice A rationale: A blood pressure reading of 72/56 mmHg may be expected after spinal anesthesia. The nurse should continue to monitor the blood pressure to ensure it stabilizes within an acceptable range for the individual patient.
Choice B rationale: Headache is a common side effect of spinal anesthesia, and the nurse should assess for this but should not be the first action with the given blood pressure reading.
Choice C rationale: Administering oxygen by nasal cannula may not be necessary based solely on the blood pressure reading after spinal anesthesia.
Choice D rationale: Elevating the client's feet is not the first intervention for a blood pressure reading of 72/56 mmHg after spinal anesthesia. It may be considered if the blood pressure remains low and symptoms of hypotension are present.

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Correct Answer is C

Explanation

Choice A rationale: Epinephrine is not an antagonist for benzodiazepines. It is primarily used in the treatment of anaphylaxis and cardiac arrest.
Choice B rationale: Atropine is not an antagonist for benzodiazepines. It is used to increase heart rate and treat certain types of poisoning.
Choice C rationale: Flumazenil is a specific antagonist for benzodiazepines. It can be used to reverse the sedative effects of benzodiazepine overdose, such as in the case of the patient taking an excessive amount of lorazepam.
Choice D rationale: Naloxone is an opioid antagonist and would not be effective in reversing the effects of lorazepam overdose.

A. Decreased strength B. Suppression of spasticity C. Improved muscle tone D. Increased muscle resistance

Correct Answer is C

Explanation

Choice A rationale: Decreased strength is not the desired effect of baclofen.
Baclofen is a muscle relaxant and is expected to improve muscle tone rather than decrease strength.
Choice B rationale: Baclofen is used to suppress spasticity, which is a common symptom in patients with multiple sclerosis.
Choice C rationale: Improved muscle tone is the desired effect of baclofen, making this the correct choice.
Choice D rationale: Increased muscle resistance is not the desired effect of baclofen.

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A client has received spinal anesthesia. The nurse obtains a blood pressure reading of 72/56 mL/Hg. The nurse will

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A 32-year old female patient has been taking lorazepam (Ativan) for her anxiety and is brought into the emergency department after taking 30 days' worth at one time. What antagonist for benzodiazepines may be used in this case?

Correct Answer is C

Explanation

A patient with multiple sclerosis is prescribed baclofen. Which assessment by the nurse indicates that the medication is exerting its desired effect?

Correct Answer is C

Explanation

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