A nurse is administering midazolam to a client who is undergoing an endoscopic procedure. The nurse should monitor the client for which of the following as an adverse effect of the medication?
Ringing in the ears
Urinary retention
Increased blood pressure
Respiratory depression
The Correct Answer is D
A. Ringing in the ears (tinnitus) is not a common adverse effect of midazolam.
B. Urinary retention is not a common adverse effect of midazolam.
C. Midazolam typically causes decreased blood pressure, not increased blood pressure.
D. Respiratory depression is a potential adverse effect of midazolam, particularly when administered in higher doses or in combination with other central nervous system depressants.
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Related Questions
Correct Answer is D
Explanation
A. This statment appeasr to challenge the patient's autonomy hence it is not appropriate.
B. This response may induce fear or guilt in the client, which is not conducive to addressing the underlying reasons for medication refusal.
C. This response may minimize the client's concerns and does not address the root cause of their refusal.
D. It is important to notify the provider so that additional interventions can be sought
Correct Answer is C
Explanation
A. Laryngospasm: Laryngospasm is not a commonly associated adverse effect of alteplase administration. It is more commonly associated with airway irritants or allergic reactions.
B. Polycythemia: Polycythemia, or an abnormally high red blood cell count, is not a typical adverse effect of alteplase administration. Alteplase is a thrombolytic agent used to dissolve blood clots and is not associated with increasing red blood cell production.
C. Hemorrhage: Hemorrhage, or bleeding, is the most significant adverse effect associated with alteplase administration. Alteplase works by promoting fibrinolysis and can increase the risk of bleeding, including intracranial hemorrhage, particularly in the context of thrombolytic therapy for stroke.
D. Steatorrhea: Steatorrhea, or fatty stools, is not a commonly associated adverse effect of alteplase administration. It is more commonly associated with malabsorption disorders or pancreatic insufficiency.
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