A charge nurse is teaching a group of nurses about the antagonist action of medications. The nurse should include in the teaching that which of the following antagonist medications is used for benzodiazepines?
Protamine
Naloxone
Diphenhydramine
Flumazenil
The Correct Answer is D
A. Protamine: Protamine is used as an antidote for heparin, not for benzodiazepines.
B. Naloxone: Naloxone is an opioid antagonist used to reverse the effects of opioids, such as morphine or heroin. It does not antagonize the effects of benzodiazepines.
C. Diphenhydramine: Diphenhydramine is an antihistamine medication commonly used for allergy relief and as a sleep aid. It does not antagonize the effects of benzodiazepines.
D. Flumazenil: Flumazenil is a benzodiazepine receptor antagonist. It is used to reverse the effects of benzodiazepine overdose or to rapidly reverse the sedative effects of benzodiazepines in cases such as anesthesia recovery. Therefore, it is the correct option for antagonizing benzodiazepines.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["A","C","E"]
Explanation
Fluid excess, also known as fluid overload or hypervolemia, occurs when there is an excessive volume of fluid in the body. The nurse should assess for signs and symptoms of fluid excess, which include the following:
A. Bounding pulse: A bounding pulse, or a pulse that feels unusually strong and forceful, can be a sign of fluid excess. Increased blood volume leads to increased cardiac output, which can manifest as a bounding pulse.
B. Urine-specific gravity greater than 1.030: Urine-specific gravity greater than 1.030 typically indicates concentrated urine and is more indicative of dehydration rather than fluid excess.
C. Pitting edema: Pitting edema occurs when pressure is applied to the skin, resulting in an indentation or "pit" that persists after the pressure is released. It is a classic sign of fluid excess, indicating fluid accumulation in the interstitial spaces.
D. Swelling at the IV site: Swelling at the IV site may indicate infiltration or phlebitis rather than fluid excess. While fluid excess can lead to generalized swelling, swelling specifically at the IV site may suggest a local issue related to the IV infusion.
E. Crackles upon auscultation: Crackles, also known as rales, are abnormal lung sounds heard upon auscultation and are indicative of fluid accumulation in the lungs, which can occur with fluid excess. Crackles are typically heard in the bases of the lungs and may indicate pulmonary edema.
Correct Answer is D
Explanation
Children can often be resistant to taking medication, but offering them choices and involving them in the process can help promote cooperation. Here's the rationale for each option:
A. Tell the child it is candy: This strategy involves deception and can lead to trust issues if the child discovers the truth. It's not ethical or recommended to lie to a child about medication.
B. Tell the child he will have to have a shot instead: Threatening the child with a shot is coercive and can cause fear and anxiety. It's not an appropriate or therapeutic approach to encourage cooperation.
C. Hide the medication in a large dish of ice cream: While hiding medication in food may work for some children, it's important to ensure that the child consumes the entire dose. Additionally, it's essential to check with the healthcare provider or pharmacist to confirm that the medication can be taken with food. However, this approach may not address the underlying issue of the child's resistance to taking medication.
D. Offer the child a choice of taking the medication with juice or water: Offering the child a choice empowers them and gives them some control over the situation. By allowing the child to choose how they take the medication, they may feel more comfortable and cooperative. This approach respects the child's autonomy and can be an effective way to encourage cooperation while ensuring the medication is taken as prescribed.
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