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A nurse is caring for a client receiving fentanyl. On assessment, the client's respiratory rate is 8 breaths per minute. Which medication is appropriate at this time?

Propofol

Naloxone

Flumazenil

Protamine sulfate

Answer and Explanation

The Correct Answer is B

A. Propofol is a sedative and would worsen respiratory depression.

B. Naloxone is the antidote for opioid-induced respiratory depression and should be administered immediately.

C. Flumazenil reverses benzodiazepine effects and is not appropriate for opioid overdose.

D. Protamine sulfate is used to reverse the effects of heparin and is unrelated to fentanyl toxicity.

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Correct Answer is ["B","C"]

Explanation

A. The presence of a cough is expected as a protective reflex and does not delay transfer.

B. The absence of a gag reflex increases the risk of aspiration, delaying safe transfer.

C. A respiratory rate of 6 breaths per minute indicates respiratory depression, which requires immediate intervention.

D. Urine output of 90 mL/hour is within the expected range and does not delay transfer.

E. A heart rate of 70 beats per minute is normal and not a contraindication for transfer.

F. Capillary refill less than 3 seconds is normal and does not delay the transfer.

A. Administer insulin B. Place the client on oxygen C. Administer intravenous dantrolene D. Cover the client with a warm blanket E. Administer intravenous flumazenil F. Administer cold intravenous saline

Correct Answer is ["B","C","F"]

Explanation

A: Insulin is not indicated unless hyperkalemia develops as a complication of malignant hyperthermia.

B: Administering oxygen helps address hypoxemia caused by increased metabolic activity and muscle rigidity.

C: Dantrolene is the treatment of choice for malignant hyperthermia. It reduces muscle rigidity and hypermetabolism.

D: Warm blankets are contraindicated as they exacerbate hyperthermia.

E: Flumazenil is used to reverse benzodiazepines and is unrelated to malignant hyperthermia management.

F: Cooling measures, including cold IV saline, help reduce hyperthermia.

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A nurse is caring for a client receiving fentanyl. On assessment, the client's respiratory rate is 8 breaths per minute. Which medication is appropriate at this time?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse is preparing to transfer a client from the post-anesthesia care unit (PACU). Which assessment findings would delay the transfer of the client? (Select All that Apply.)

Correct Answer is ["B","C"]

Explanation

A nurse is caring for a client experiencing malignant hyperthermia. Which intervention(s) is/are appropriate for this client? [Select All That Apply]

Correct Answer is ["B","C","F"]

Explanation

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