A nurse is assessing a client who received midazolam IV for moderate (conscious) sedation.
Which of the following assessments is the nurse's priority?
Heart rate
Oxygen saturation
Level of consciousness
Temperature
None
None
The Correct Answer is B
A. Heart rate is important to monitor, but it is not the most immediate indicator of a life-threatening complication from midazolam. Changes in heart rate can occur, but they are usually secondary to respiratory issues.
B. Oxygen saturation is the priority because midazolam, a benzodiazepine, can cause respiratory depression and airway compromise. Monitoring oxygenation allows for rapid detection of hypoxia, which is the most immediate risk during moderate sedation.
C. Level of consciousness should be assessed, as midazolam causes sedation and can lead to oversedation. However, airway and breathing take priority over neurological assessment in this situation.
D. Temperature is not significantly affected by midazolam and is not an immediate concern during moderate sedation. It is therefore the lowest priority among the options provided.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
A. Pedal edema is not typically associated with an acute infusion reaction to amphotericin B.
B. A dry cough is not typically associated with an acute infusion reaction to amphotericin B.
C. Fever is a common manifestation of an acute infusion reaction to amphotericin B, indicating a systemic inflammatory response.
D. Hyperglycemia is not typically associated with an acute infusion reaction to amphotericin B.
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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