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A client is receiving diazepam prior to a procedure. Which side effect should the nurse be most concerned about?

Hyperthermia

Hypertension

Tachycardia

Respiratory depression

Answer and Explanation

The Correct Answer is D

A. Hyperthermia is not commonly associated with diazepam.

B. Hypertension is not a common concern with diazepam use.

C. Tachycardia is not a significant side effect of diazepam.

D. Respiratory depression is the most serious and potentially life-threatening side effect of diazepam, requiring close monitoring.

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Correct Answer is A

Explanation

A. The changes in vital signs are within expected ranges post-procedure, so continued monitoring is appropriate.

B. A temperature increase to 99°F is not significant and does not require immediate reporting.

C. No signs of hypovolemia or dehydration warrant increasing IV fluids.

D. A blood pressure decrease to 112/72 mm Hg is minimal and not concerning.

A. Presence of cough B. Absence of gag reflex C. Respiratory rate of 6 breaths per minute D. Urine output 90 mL/hour E. Heart rate 70 beats per minute F. Capillary refill less than 3 seconds

Correct Answer is ["B","C"]

Explanation

A. The presence of a cough is expected as a protective reflex and does not delay transfer.

B. The absence of a gag reflex increases the risk of aspiration, delaying safe transfer.

C. A respiratory rate of 6 breaths per minute indicates respiratory depression, which requires immediate intervention.

D. Urine output of 90 mL/hour is within the expected range and does not delay transfer.

E. A heart rate of 70 beats per minute is normal and not a contraindication for transfer.

F. Capillary refill less than 3 seconds is normal and does not delay the transfer.

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A client is receiving diazepam prior to a procedure. Which side effect should the nurse be most concerned about?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Exhibits A client is brought to post anesthesia care unit (PACU) after an invasive procedure. Based on the two sets of vital signs in the chart tab, which action is most appropriate by the nurse?

Correct Answer is A

Explanation

The nurse is preparing to transfer a client from the post-anesthesia care unit (PACU). Which assessment findings would delay the transfer of the client? (Select All that Apply.)

Correct Answer is ["B","C"]

Explanation

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