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 B

Explanation

Consulting a reference guide provides information on all potential interactions that may apply for the medication guide. It allows the nurse to give specific and accurate information regarding the drug at hand without generalization.

A- This does not apply to all medications

C-Asking a colleague may not be accurate

D- The clients records may not contain all the relevant information needed

A. Blood pressure B. Respiratory rate C. Temperature D. Oxygen saturation

Correct Answer is A

Explanation

Nifedipine is a calcium channel blocker is used in the management of hypertension. It leads to vasodilation of blood vessels lowering blood pressure. Nifedipine is a calcium channel blocker commonly used to treat hypertension and angina. Therefore, the nurse should assess the client's blood pressure prior to administering nifedipine to ensure that it is within the therapeutic range and not too low, as nifedipine can cause hypotension (as a side effect.

B,C, D- Nifedipine has no effect on respiratory rate, temperature and oxygen saturation

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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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