A nurse is planning care for a client who has a benzodiazepine overdose. Which of the following interventions should the nurse include in the plan?
Administer naloxone (Narcan)
Administer flumazenil (Romazicon)
Administer activated charcoal
Administer acetylcysteine (Mucomyst)
The Correct Answer is B
Correct answer: b) Administer flumazenil (Romazicon)
Rationale: Flumazenil is an antidote for benzodiazepine overdose that works by blocking the benzodiazepine receptors in the brain. It can reverse the effects of benzodiazepines such as sedation, respiratory depression, and coma.
Incorrect choices:
a) Administer naloxone (Narcan): Naloxone is an antidote for opioid overdose that works by displacing opioids from their receptors in the brain. It has no effect on benzodiazepines or their receptors.
c) Administer activated charcoal: Activated charcoal is a substance that binds to drugs or toxins in the gastrointestinal tract and prevents their absorption into the bloodstream. It may be useful for some cases of drug overdose, but it is not effective for benzodiazepines as they are rapidly absorbed and distributed in the body.
d) Administer acetylcysteine (Mucomyst): Acetylcysteine is an antidote for acetaminophen overdose that works by replenishing glutathione, a substance that helps detoxify acetaminophen in the liver. It has no effect on benzodiazepines or their metabolism.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Correct answer: b) Agitation and paranoia
Rationale: Agitation and paranoia are signs of stimulant intoxication and indicate that the client is experiencing a psychotic reaction to amphetamines. The nurse should provide a calm and safe environment, administer antipsychotics if ordered, and monitor the client for violence or self-harm.
Incorrect choices:
a) Hypotension and bradycardia: These are signs of depressant intoxication and indicate that the client is taking sedatives, opioids, or alcohol.
c) Slurred speech and ataxia: These are signs of depressant intoxication and indicate that the client is taking sedatives, opioids, or alcohol.
d) Sedation and respiratory depression: These are signs of depressant intoxication and indicate that the client is taking sedatives, opioids, or alcohol.
Correct Answer is A
Explanation
Correct answer: a) Hypertension, tachycardia, and diaphoresis
Rationale: Opioid withdrawal symptoms are similar to those of sympathetic nervous system activation and include hypertension, tachycardia, diaphoresis, restlessness, anxiety, muscle aches, nausea, vomiting, and diarrhea.
Incorrect choices:
b) Hypotension, bradycardia, and constipation: These are signs of opioid intoxication or overdose, not withdrawal.
c) Hypothermia, lethargy, and miosis: These are also signs of opioid intoxication or overdose, not withdrawal.
d) Hyperthermia, agitation, and mydriasis: These are signs of stimulant abuse or withdrawal, not opioid withdrawal.
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