A nurse is caring for a client receiving Propofol for sedation during a medical procedure. Which assessment finding should the nurse prioritize when monitoring the client's response to Propofol?
Blood pressure of 120/84 mm Hg
Hypoactive bowel sounds.
Respiratory rate of 9 breaths per minute.
Urine output 90 mL over the last 2 hours.
The Correct Answer is C
A. A blood pressure of 120/84 mm Hg is within normal limits and does not require immediate intervention.
B. Hypoactive bowel sounds are a common side effect of sedation and not an immediate concern.
C. A respiratory rate of 9 breaths per minute indicates respiratory depression, which is a life-threatening side effect of Propofol. Immediate intervention is required to maintain oxygenation.
D. Urine output of 90 mL over 2 hours is adequate and does not indicate acute distress.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. Assisting the client to remove jewelry is within the UAP's scope of practice and does not require clinical judgment.
B. Providing education about a surgical procedure requires nursing knowledge and cannot be delegated.
C. Instructing the client on the use of an incentive spirometer is a teaching activity requiring an RN’s expertise.
D. Witnessing informed consent is a legal responsibility that must be performed by an RN.
Correct Answer is C
Explanation
A. Increasing the infusion would worsen respiratory depression.
B. Supplemental oxygen is supportive but does not address the cause of respiratory depression.
C. Midazolam can cause respiratory depression, and flumazenil (a benzodiazepine antagonist) is the antidote; however, if naloxone is available, it may reverse sedation quickly in emergency scenarios.
D. While neurological assessment is vital, it does not address the immediate issue of respiratory compromise.
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