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.
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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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
A- Confirming with another nurse ensures right dosage is not necessary. Dosage should be confrimed with the prescription and proper calculation
B-Verification with the administration record ensures that the prescribed medication is the one given. This is important as it ensures that the client receives the right medications for the illness. However, it is not part of the rights of medication administration
C-Use of 2 identifiers ensures right client which is part of the rights of medication administration
D-Documenting full names is important for record-keeping but not part of the rights of medication administration
Correct Answer is D
Explanation
Rifampin, an antibiotic used to treat bacterial infections, can cause a reddish-orange discoloration of body fluids, including urine. This color change is due to the presence of rifampin metabolites, which are eliminated through the urine. The discoloration is a harmless side effect and is considered normal while taking the medication. It causes decreased effectiveness of oral contraceptives
A- Rifampin is an enzyme inducer that increases the rate of metabolism of oral contraceptive pills.
This leads to subtherapeutic levels that increases the risk of pregnancy.
B- The prescription may vary
C- Rifampin causes staining of contact lens and should, therefore, be avoided
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