Nokea
The nurse is caring for a client who is experiencing hypotension and respiratory depression after administration of IV midazolam. The nurse should anticipate that the client will receive
- A. Acetylcysteine
- B. Benztropine
- C. Phentolamine
- D. Flumazenil
Correct Answer: D
Rationale: Midazolam, a benzodiazepine, can cause respiratory depression and hypotension in overdose. Flumazenil (D) is the specific antidote, reversing benzodiazepine effects. Acetylcysteine (A) treats acetaminophen overdose, benztropine (B) manages extrapyramidal symptoms, and phentolamine (C) treats hypertensive crises, none of which apply here.
You may also like to solve these questions
Spinal headaches are a common occurrence following spinal anesthesia. Which of the following nursing interventions can help prevent a spinal headache?
- A. Placing the client in a quiet room.
- B. Significantly increasing the client's fluid intake.
- C. Administering PRN pain medication.
- D. Raising the head of the bed to $45^{\circ}$.
Correct Answer: B
Rationale: Increasing fluid intake helps maintain cerebrospinal fluid pressure, reducing the risk of spinal headaches post-spinal anesthesia.
A 6-year-old child is receiving chemotherapy for leukemia. Which comment by the child indicates to the nurse that the child is adjusting well to the therapy?
- A. I am so tired. I want Mommy to hold me.'
- B. Look at my new hat. I wear it all the time. It's pretty.'
- C. See all my bruises. They are funny colors.'
- D. I wish I could eat pizza, but everything makes me throw up.'
Correct Answer: B
Rationale: Wearing a hat proudly suggests positive coping with hair loss from chemotherapy, indicating adjustment, unlike complaints of fatigue, bruising, or nausea.
The nurse is reinforcing teaching to the caregiver of a child diagnosed with ringworm on the abdomen. Which statement by the caregiver indicates a need for further teaching?
- A. Handwashing is very important as ringworm can be spread among humans and pets.
- B. I must apply antifungal cream to all affected areas to eradicate ringworm from the body.
- C. My child has been infected by a worm and must be treated to rid it from the body.
- D. My child may be uncomfortable due to itching, but this is not a dangerous condition.
Correct Answer: C
Rationale: Ringworm is a fungal infection, not a parasitic worm (C), indicating a misunderstanding requiring further teaching. Handwashing (A), antifungal cream (B), and recognizing itching as non-dangerous (D) are correct, reflecting proper understanding.
Priorities to be considered intermediate are:
- A. the nonemergency, non-life-threatening needs of the client.
- B. those tasks that can be delegated to assistive personnel.
- C. those tasks that can be performed at the end of the shift.
- D. those task that can be performed at any time.
Correct Answer: A
Rationale: Priorities designated as intermediate by the nurse are those that are not urgent. They do not affect the client's immediate physiological status.
A person who has psoriasis is seen in the clinic. The lesions are covered with coal tar. Which instruction should the nurse give the client?
- A. Call if you have nausea and vomiting.'
- B. Protect the area from sunlight for 24 hours.'
- C. Wash off the solution after six to eight hours.'
- D. Call if your skin looks dark during the treatment.'
Correct Answer: B
Rationale: Coal tar increases photosensitivity; protecting the area from sunlight for 24 hours prevents burns. Nausea, washing off, or skin darkening are not primary concerns.