A nurse is planning care for a client who is experiencing benzodiazepine toxicity.
The nurse should plan to administer which of the following medications?
Atropine.
Flumazenil.
Activated charcoal.
Naloxone.
The Correct Answer is B
Choice B rationale:
Flumazenil is a selective antagonist for the benzodiazepine receptor and is used as an antidote for benzodiazepine toxicity. It competitively inhibits the effects of benzodiazepines by binding to the same receptor sites in the central nervous system. Flumazenil can rapidly reverse the sedative and respiratory-depressant effects of benzodiazepine overdose, making it the appropriate choice in this scenario.
Choice A rationale:
Atropine is an anticholinergic medication that is used to treat bradycardia and certain types of heart block. It has no specific antidote effects for benzodiazepine toxicity and would not be the appropriate choice in this situation.
Choice C rationale:
Activated charcoal is used in the management of certain types of poisonings by adsorbing the toxic substance in the gastrointestinal tract, preventing its absorption into the bloodstream. However, it is not effective for benzodiazepine toxicity, which primarily affects the central nervous system and not the gastrointestinal tract.
Choice D rationale:
Naloxone is an opioid receptor antagonist used to reverse opioid overdose. It has no specific effects on benzodiazepine toxicity and would not be the appropriate choice in this case.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
A. Bleeding gums are common during pregnancy due to hormonal changes that make gums more sensitive and prone to bleeding. This is not typically a sign of a serious condition and can usually be managed with good oral hygiene.
B. Faintness or lightheadedness upon rising is common in pregnancy due to blood pressure changes. This can often be managed with lifestyle modifications such as rising slowly, staying hydrated, and avoiding prolonged standing.
C. Swelling of the face during pregnancy can be an early sign of preeclampsia, a serious condition characterized by high blood pressure and organ damage. This is a concerning symptom that requires immediate evaluation by a healthcare provider.
D. Urinary frequency is a common and usually benign symptom during pregnancy, especially in the first and third trimesters due to hormonal changes and pressure on the bladder. It does not typically require urgent reporting unless accompanied by other symptoms such as pain or burning during urination, which could indicate a urinary tract infection.
Correct Answer is C
Explanation
A. Incorrect. While some gestures can be helpful in communication, they might not always convey complex medical information accurately.
B. Incorrect. Speaking slowly might not necessarily enhance understanding, especially if the client's primary language is different from the nurse's.
C. Correct. When using an interpreter, the nurse should address the client directly and speak as if they are having a direct conversation with the client.
D. Incorrect. Pausing in the middle of sentences can disrupt the flow of communication and might not facilitate understanding.
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