A nurse is caring for a postoperative client who received Midazolam as part of the anesthesia. The client is now in the recovery room. While assessing the client, the nurse observes respiratory depression and decreased oxygen saturation. What immediate actions should the nurse take to address this situation?
increase the infusion rate of Midazolam
Administer supplemental oxygen via nasal cannula
Administer naloxone.
Perform a thorough neurological assessment
The Correct Answer is C
A. Increasing the infusion would worsen respiratory depression.
B. Supplemental oxygen is supportive but does not address the cause of respiratory depression.
C. Midazolam can cause respiratory depression, and flumazenil (a benzodiazepine antagonist) is the antidote; however, if naloxone is available, it may reverse sedation quickly in emergency scenarios.
D. While neurological assessment is vital, it does not address the immediate issue of respiratory compromise.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
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.
Correct Answer is B
Explanation
A. Shellfish allergy is not commonly linked to bananas and kiwis.
B. A latex allergy is associated with cross-reactivity to certain foods, including bananas, kiwis, avocados, and chestnuts, due to similar proteins.
C. Contrast dye allergy is not commonly linked to bananas and kiwis.
D. Iodine allergies are not commonly linked to bananas and kiwis.
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