A nurse is caring for a postoperative client who is receiving fentanyl.
Which of the following medications should the nurse plan to administer to the client if manifestations of fentanyl toxicity occur?.
Flumazenil
Naloxone.
Protamine.
Atropine.
The Correct Answer is B
Choice A rationale:
Flumazenil is used to reverse the effects of benzodiazepines, not opioids like fentanyl.
Choice B rationale:
Naloxone is an opioid antagonist that can quickly reverse an opioid overdose, including fentanyl.
Choice C rationale:
Protamine is used to reverse the effects of heparin, a blood thinner, not opioids.
Choice D rationale:
Atropine is used to treat bradycardia and symptoms of nerve gas exposure, not opioid toxicity.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Choice A rationale:
Propranolol is a beta-blocker and does not typically cause a cough. This is more common with ACE inhibitors.
Choice B rationale:
Propranolol can cause dizziness or lightheadedness, especially when getting up suddenly from a lying or sitting position. So, it’s important to sit on the side of the bed before standing up.
Choice C rationale:
Propranolol can lower heart rate, but a heart rate greater than 70/min is normal and not a reason to stop taking the medication.
Choice D rationale:
While regular weight monitoring is important for patients taking medications that can cause fluid retention, propranolol is not typically associated with this side effect.
Correct Answer is A
Explanation
Choice A rationale:
The priority nursing action after administering the wrong medication is to assess the client for any adverse effects. This includes checking the client’s vital signs. Therefore, this statement is correct.
Choice B rationale:
Notifying the charge nurse is an important step, but it is not the first action the nurse should take. Therefore, this statement is incorrect.
Choice C rationale:
Documenting an objective description of what has happened in the client’s chart is necessary, but it is not the first action the nurse should take. Therefore, this statement is incorrect.
Choice D rationale:
Filling out an occurrence report according to institutional policy is necessary, but it is not the first action the nurse should take. Therefore, this statement is incorrect.
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