A nurse is caring for a client receiving fentanyl. On assessment, the client's respiratory rate is 8 breaths per minute. Which medication is appropriate at this time?
Propofol
Naloxone
Flumazenil
Protamine sulfate
The Correct Answer is B
A. Propofol is a sedative and would worsen respiratory depression.
B. Naloxone is the antidote for opioid-induced respiratory depression and should be administered immediately.
C. Flumazenil reverses benzodiazepine effects and is not appropriate for opioid overdose.
D. Protamine sulfate is used to reverse the effects of heparin and is unrelated to fentanyl toxicity.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["B","E","F"]
Explanation
A: Nail polish should be removed as it can interfere with oxygen saturation monitoring during surgery.
B: Preoperative fasting reduces the risk of aspiration during anesthesia. Specific guidelines regarding fasting duration for solids and liquids should be provided.
C: Teaching the client how to operate a vital signs machine is not relevant.
D: Jewelry must be removed to reduce the risk of burns (from cautery) and interference with equipment.
E: Postoperative care information helps the client prepare for recovery and any potential needs after surgery, such as pain management or wound care.
F: Explaining the surgical procedure ensures informed consent and reduces anxiety by providing clarity about the process.
Correct Answer is C
Explanation
A. A blood pressure of 120/84 mm Hg is within normal limits and does not require immediate intervention.
B. Hypoactive bowel sounds are a common side effect of sedation and not an immediate concern.
C. A respiratory rate of 9 breaths per minute indicates respiratory depression, which is a life-threatening side effect of Propofol. Immediate intervention is required to maintain oxygenation.
D. Urine output of 90 mL over 2 hours is adequate and does not indicate acute distress.
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