A nurse is assessing a client who received midazolam IV for moderate (conscious) sedation.
Which of the following assessments is the nurse's priority?
Heart rate
Oxygen saturation
Level of consciousness
Temperature
None
None
The Correct Answer is C
A. Monitoring heart rate is important, but it is not the priority after midazolam administration.
B. Oxygen saturation is essential, but respiratory depression typically follows changes in consciousness.
C. Level of consciousness is the priority assessment because midazolam is a benzodiazepine that causes sedation, and monitoring for excessive sedation or delayed awakening is crucial.
D. Temperature monitoring is not an immediate priority following moderate sedation.
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Related Questions
Correct Answer is C
Explanation
A. Amphotericin B lipid complex typically appears as a yellowish suspension, so discarding it for being yellow would result in unnecessary waste.
B. The tubing isnt necessary when administering amphotericin B.
C. Guidelines suggest that administering by IV infusion over 2-6 hours.
D. Amphotericin B lipid complex should be administered using an infusion pump to ensure accurate dosing and control of the infusion rate, rather than relying on gravity flow.
Correct Answer is A
Explanation
A. Nitroglycerin is a contraindication for sildenafil because both medications can cause a significant drop in blood pressure when taken together, leading to hypotension and potentially life-threatening complications.
B. Albuterol, a bronchodilator, is not a contraindication for sildenafil.
C. Furosemide, a diuretic, is not a contraindication for sildenafil.
D. Indomethacin, a nonsteroidal anti-inflammatory drug (NSAID), is not a contraindication for sildenafil.
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