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A nurse is administering midazolam to a client who is undergoing an endoscopic procedure. The nurse should monitor the client for which of the following as an adverse effect of the medication?

Ringing in the ears

Urinary retention

Increased blood pressure

Respiratory depression

Answer and Explanation

The Correct Answer is D

A. Ringing in the ears (tinnitus) is not a common adverse effect of midazolam.

B. Urinary retention is not a common adverse effect of midazolam.

C. Midazolam typically causes decreased blood pressure, not increased blood pressure.

D. Respiratory depression is a potential adverse effect of midazolam, particularly when administered in higher doses or in combination with other central nervous system depressants.

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Correct Answer is C

Explanation

A. “I can cut the patches in half to save money": Cutting nitroglycerin patches is not recommended as it can alter the medication's release rate and efficacy. Therefore, this statement indicates a misunderstanding and should be corrected.

B. “I will apply a new patch to the same site whenever I replace it": Rotating patch sites is essential to prevent skin irritation and tolerance development. Therefore, this statement indicates a misunderstanding and should be corrected.
C. “I will take the patch off after dinner every night": This statement demonstrates understanding because nitroglycerin patches are typically worn for a certain number of hours (e.g., 12-14 hours) and then removed for a drug-free interval to prevent tolerance development.
D. "I can put a second patch on if I have chest pain": Applying multiple nitroglycerin patches simultaneously can lead to excessive vasodilation and hypotension, which can be dangerous. Therefore, this statement indicates a misunderstanding and should be corrected.

A. Isosorbide mononitrate B. Propranolol C. Pantoprazole D. Montelukast

Correct Answer is B

Explanation

A. Isosorbide mononitrate is a nitrate medication used for angina and does not have significant interactions with albuterol.
B. Propranolol is a beta-blocker that can antagonize the effects of albuterol, potentially leading to decreased effectiveness in treating asthma symptoms.
C. Pantoprazole is a proton pump inhibitor used for gastrointestinal conditions and does not interact significantly with albuterol.
D. Montelukast is a leukotriene receptor antagonist used for asthma and allergies, but it does not have significant interactions with albuterol.

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A nurse is administering midazolam to a client who is undergoing an endoscopic procedure. The nurse should monitor the client for which of the following as an adverse effect of the medication?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is teaching a client who has stable angina and a new prescription for nitroglycerin transdermal patches 0.8 mg/hr daily. Which of the following statements by the client indicates an understanding of the teaching?

Correct Answer is C

Explanation

A nurse is interviewing a client who was newly admitted prior to administering medications. The client tells the nurse. "I forgot to tell the doctor! take albuterol for asthma." For which of the following medications should the nurse withhold the dose and notify the provider?

Correct Answer is B

Explanation

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