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.
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Related Questions
Correct Answer is B
Explanation
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.
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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