A client child accidentally ingested her mother's lorazepam and the child is now very sleepy. Which of these medications would the nurse want to have readily available in case benzodiazepine reversal is needed?
Physostigmine
Naloxone
Flumazenil
Syrup of ipecac
The Correct Answer is C
The nurse would want to have flumazenil readily available in case benzodiazepine reversal is needed. Flumazenil is a medication used to reverse the effects of benzodiazepines such as lorazepam ¹. It can be used to help a person wake up after a medical procedure in which a benzodiazepine was used as a sedative or to treat a benzodiazepine overdose ¹.
Option A is incorrect because physostigmine is not used to reverse the effects of benzodiazepines.
Option B is incorrect because naloxone is used to reverse the effects of opioids, not benzodiazepines.
Option D is incorrect because syrup of ipecac is not used to reverse the effects of benzodiazepines.
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Related Questions
Correct Answer is D
Explanation
The client's symptoms of high fever, unstable blood pressure, increased confusion, and rigidity are consistent with neuroleptic malignant syndrome (NMS) ⁴. NMS is a rare but life-threatening reaction that can occur in response to neuroleptic or antipsychotic medication ⁴. In this case, the client was taking olanzapine and was recently prescribed chlorpromazine, both of which are antipsychotic medications that can cause NMS ⁴.
Option A is incorrect because accelerated dementia would not cause the sudden onset of these symptoms.
Option B is incorrect because an infection would not explain the sudden onset of these symptoms after starting a new medication.
Option C is incorrect because aspiration would not cause rigidity or unstable blood pressure.
Correct Answer is B
Explanation
Risperidone is an atypical antipsychotic medication used to treat schizophrenia ¹. It works by changing the activity of certain natural substances in the brain ¹. A therapeutic outcome for this medication would be a decrease in symptoms of schizophrenia such as delusional thinking and audiovisual hallucinations ¹.
Option A is not correct because orthostatic hypotension and sedation are side effects of risperidone, not therapeutic outcomes ¹.
Option C is not correct because restful sleep and increased coping abilities are not specific therapeutic outcomes for risperidone in the treatment of schizophrenia.
Option D is not correct because decreased anxiety and improved dietary habits are not specific therapeutic outcomes for risperidone in the treatment of schizophrenia.
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