A nurse is caring for a client who is receiving diazepam for moderate (conscious) sedation. Which of the following actions should the nurse take to assess for an adverse reaction to the medication?
Monitor the client for seizure activity.
Auscultate the client's bowel sounds.
Monitor the client's oxygen saturation.
Check the client's urinary output.
The Correct Answer is C
Diazepam is a benzodiazepine with potential for respiratory depression. It is, therefore, important for the nurse to cautiously monitor the respiratory rate and respond appropriately at each review.
A-Diazepam is an anticonvulsant
B, D- Diazepam has no effect on bowel habits and urinary output
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Nitroprusside is a systemic vasodilator that lowers blood pressure. It is used in emergency set ups to lower blood pressure in clients with hypertensive crises. It can also lower the blood pressure to cause hypotension and the blood pressure should be monitored closely.
B-Stroke volume is not directly affected by nitroprusside
C-Cardiac output is not directly affected by nitroprusside
D-Urine output changes can occur due to hypotension but not as a direct effect of nitroprusside
Correct Answer is D
Explanation
metoclopramide is a dopamine antagonist which could interact with central dopamine receptors to cause tardive dyskinesia. The nurse should monitor the client for tardive dyskinesia, a serious movement disorder that can be caused by high-dose metoclopramide. When administering injections, it is generally recommended to inject the medication into the lateral thigh.
A-ACEIS, ARBS cause angioedema and persistent dry cough
B-Corticosteroids or other immunosuppressants increases risk of fungal infections such as oral candidiasis
C-anticoagulants can cause black stools which is a sign of upper GI bleeding.
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