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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 B

Explanation

A. Peristalsis slows but does not stop entirely with anesthesia, and this explanation is incorrect.

B. Fasting reduces the risk of aspiration by minimizing stomach contents during anesthesia, which is the primary concern.

C. Maintaining fluid and electrolyte balance is important but not the main reason for fasting.

D. Reducing the need for a Foley catheter is unrelated to NPO status.

A. “I have the ability to self-dose when experience pain." B. “I can receive a dose as often as need with this pump.” C. “I’ll receive a steady flow of medication to control my pain.” D. "I will decide with the nurse when I should receive a dose."

Correct Answer is A

Explanation

A. PCA pumps allow clients to self-administer pain medication within prescribed limits when experiencing pain.

B. Doses are controlled by a lockout mechanism to prevent overdosing.

C. PCA pumps deliver medication as needed, not a continuous infusion unless programmed otherwise.

D. The client independently determines when to use the PCA within prescribed parameters.

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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

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