A nurse is caring for a client who is receiving diazepam for moderate (conscious) sedation. Which of the following actions should the nurse take to assess for an adverse reaction to the medication?

Monitor the client for seizure activity.

Auscultate the client's bowel sounds.

Monitor the client's oxygen saturation.

Check the client's urinary output.

Answer and Explanation

The Correct Answer is C

Diazepam is a benzodiazepine with potential for respiratory depression. It is, therefore, important for the nurse to cautiously monitor the respiratory rate and respond appropriately at each review.

A-Diazepam is an anticonvulsant

B, D- Diazepam has no effect on bowel habits and urinary output

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Correct Answer is A

Explanation

PT measures the time it takes for blood to clot, and it is particularly relevant for clients taking warfarin because warfarin works by inhibiting the synthesis of certain clotting factors, including factors II, VII, IX, and X, which are involved in the PT pathway. Monitoring PT levels helps ensure that the client is receiving an appropriate dose of warfarin to prevent clot formation without causing excessive bleeding.
B. Total iron-binding capacity (TIBC) is a test used to assess iron levels in the blood and is unrelated to warfarin therapy.
C. WBC (White Blood Cell count) is a test used to assess the number of white blood cells in the blood and is unrelated to warfarin therapy.
D. PTT (Partial Thromboplastin Time) is a test used to evaluate the intrinsic and common pathways of the coagulation cascade. It is used in the monitoring of heparin anticoagulant therapy. It is not typically used to monitor warfarin therapy

A. Somnolence B. Diarrhea C. Bradycardia D. Hypertension

Correct Answer is D

Explanation

Monoamine oxidase inhibitors (MAOIs) block the enzyme monoamine oxidase, which is responsible for breaking down tyramine in the body. When taking MAOIs, consuming high-tyramine foods can cause tyramine levels to reach dangerous levels, leading to a serious spike in blood pressure. It's important to follow a low-tyramine diet while on MAOIs and for a few weeks after stopping the medication to prevent a hypertensive crisis. The interaction has no effect on bowel habits, or arousal/wakefulness

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A nurse is caring for a client who is receiving diazepam for moderate (conscious) sedation. Which of the following actions should the nurse take to assess for an adverse reaction to the medication?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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