A client is admitted to the hospital with an overdose of alprazolam, a benzodiazepine. Which of the following medications should the nurse anticipate administering as an antidote?

Correct answer: a) Assess the client's vital signs and level of consciousness.

Rationale: According to the priority-setting framework, the nurse should first address the client's physiological needs before addressing their psychological or social needs. Therefore, the nurse should first assess the client's vital signs and level of consciousness, which can be altered by withdrawal symptoms, and intervene accordingly.

Incorrect choices:

b) Administer the prescribed medication for withdrawal symptoms.: This is an important action but not the first one as the nurse should first assess the client's condition and determine if they need any immediate interventions.

c) Provide a calm and supportive environment for the client.: This is an important action but not the first one as it addresses the client's psychological needs, which are lower in priority than their physiological needs.

d) Refer the client to a substance abuse counselor or program.: This is an important action but not the first one as it addresses the client's social needs, which are lower in priority than their physiological or psychological needs.

Correct answer: b) Count the remaining tablets of oxycodone with another nurse.

Rationale: Counting the remaining tablets of oxycodone with another nurse is a standard procedure to prevent the diversion of controlled substances and ensure accountability. The nurse should also document the administration and disposal of any controlled substances on a separate record.

Incorrect choices:

a) Document the administration of oxycodone on a separate record.: This is correct but not the best answer as it does not prevent the diversion of controlled substances by itself.

c) Dispose of any unused portions of oxycodone in a sharps container.: This is incorrect as unused portions of oxycodone should be disposed of in a designated container for controlled substances, not in a sharps container.

d) Educate the client about the potential for addiction and dependence.: This is correct but not relevant to the question as it does not prevent diversion of controlled substances by the nurse.