A hospice nurse is caring for a client who has a fentanyl patch applied. The client appears restless and agitated. Which of the following actions should the nurse take?

A) Monitor the client's oxygen saturation:
Monitoring the client's oxygen saturation is essential during moderate sedation with diazepam to assess respiratory status and detect any signs of respiratory depression, which can be an adverse reaction to the medication. Decreased oxygen saturation can indicate hypoventilation, a potential complication of sedative medications like diazepam.

B) Check the client's urinary output:
While monitoring urinary output is important for assessing renal function, it is not directly related to adverse reactions to diazepam or moderate sedation.

C) Monitor the client for seizure activity:
Seizure activity is a potential adverse reaction to diazepam, particularly if the client has a history of seizures or epilepsy. However, during moderate sedation, the focus is on assessing respiratory status and sedation depth rather than monitoring for seizure activity.

D) Auscultate the client's bowel sounds:
Auscultating bowel sounds is not directly related to assessing adverse reactions to diazepam or moderate sedation. It is more pertinent in assessing gastrointestinal function, which may be affected by other factors but is not typically a primary concern during moderate sedation

A. “Oxycodone blocks the sodium channel suspending nerve conduction”: Oxycodone does not primarily act by blocking sodium channels. Sodium channel blockers are typically local anesthetics or antiarrhythmic medications.

B. “Oxycodone causes central nervous system depression”: Oxycodone is an opioid analgesic that works by binding to opioid receptors in the brain and spinal cord, reducing the perception of pain. However, it can also depress the central nervous system, slowing breathing. This can lead to a decreased respiratory rate, which is why the client’s respiratory rate is 8/min.

C. “Oxycodone inhibits prostaglandin synthesis”: Oxycodone does not primarily act by inhibiting prostaglandin synthesis. Nonsteroidal anti-inflammatory drugs (NSAIDs) typically work by inhibiting prostaglandin synthesis.

D. “Oxycodone promotes vasodilation of cranial arteries”: Oxycodone does not primarily act by promoting vasodilation of cranial arteries. Medications that dilate cranial arteries are typically used to treat migraines and cluster headaches.