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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

Answer and Explanation

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.

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Correct Answer is B

Explanation

A. Assuming the client’s decision is based on fear may feel dismissive of their beliefs.

B. Acknowledging and respecting the client’s decision while confirming their right to consent honors their autonomy and builds trust.

C. Questioning the client’s decision undermines their beliefs and autonomy.

D. Reassuring the client about blood loss dismisses their valid concerns about transfusion refusal.

A. The client does not need to remove their nail polish. B. Instructions for preoperative fasting. C. How to operate the vital signs machine. D. Jewelry does not need to be removed before the procedure. E. Information about postoperative care F. information about the surgical procedure

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.

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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?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

During a pre-surgical admission assessment, a client states. "I've told my surgeon that I am Jehovah's Witness and I won't accept a blood transfusion." Which statement by the nurse would be most appropriate?

Correct Answer is B

Explanation

What type of procedural information should be given to a client in preparation for ambulatory surgery? (Select All that Apply)

Correct Answer is ["B","E","F"]

Explanation

The nurse is preparing to transfer a client from the post-anesthesia care unit (PACU). Which assessment findings would delay the transfer of the client? (Select All that Apply.)

A nurse is caring for a client receiving Propofol for sedation during a medical procedure. Which assessment finding should the nurse prioritize when monitoring the client's response to Propofol?

A nurse is teaching a newly licensed nurse about anesthesia. The nurse should include that an epidural is an example of which of the following types of anesthesia?

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?

Which is the priority intervention for the nurse to perform in the post anesthesia care unit (PACU)?

A nurse is caring for several clients in the post-operative unit. Which client should the nurse see first?

Exhibits A client is brought to post anesthesia care unit (PACU) after an invasive procedure. Based on the two sets of vital signs in the chart tab, which action is most appropriate by the nurse?

A nurse is caring for a client experiencing malignant hyperthermia. Which intervention(s) is/are appropriate for this client? [Select All That Apply]