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 D

Explanation

D-an angiotensin converting enzyme inhibitor that is used in conditions such as heart failure, hypertension and chronic kidney disease. In rare occasions, captopril can cause excessive lowe

A- Potassium supplements and potassium sparing diuretics should be avoided

B- Captopril is used in blood pressure control with no significant effect on pulse rate.

C-ACEIs have no significant changes in sodium levels in the body

A. Obtain the client's weight three times a week. B. Check the client's WBC count daily. C. Keep the solution refrigerated until 1 hr before infusion. D. Change the solution every 36 hr.

Correct Answer is C

Explanation

allow them to reach room temperature, which reduces the risk of discomfort or complications from infusing a cold solution.

A-Weight measures are not necessary to evaluate the effectiveness of the TPN

B-Daily WBCs are not necessary unless infection is suspected C-Refrigeration of TPN is not necessary

D It is crucial to change the TPN solution regularly to prevent contamination and minimize the risk of infection. Typically, TPN solutions are changed every 24 hours to maintain freshness and reduce the risk of bacterial growth.

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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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