A nurse is caring for a patient receiving intrathecal baclofen [Lioresal]. The patient is unrespon-sive. After asking a coworker to contact the provider, the nurse anticipates performing which in-tervention?
a. Preparing to support respirations
b. Administering an antidote to baclofen
c. Administering diazepam to prevent sei-zures
d. Obtaining an electrocardiogram
A
An overdose of baclofen can produce coma and respiratory depression, so the nurse would be correct to suspect overdose in this patient. Respiratory support is essential to prevent a fatal out-come. There is no antidote for baclofen overdose. Diazepam would not be indicated, because seizures are not a result of baclofen overdose and may further depress respirations. An electro-cardiogram is not indicated for this patient.
You might also like to view...
A client is living in congregate housing and informs the LPN at the clinic that they do not like living there
When the nurse asks why they are unhappy with current living arrangements, the client states, "It is a nice place but I am unable to do anything because I hardly have money for my medicines or food." What is an issue related to congregate housing? A) Residents may find that congregate housing is unaffordable. B) Residents may not have any other resources to purchase extra services or goods. C) Residents are not assured of appropriate housing and may be evicted at any time. D) Residents must be financially able to participate in outside activities.
The nurse has been caring for a client in ICU who is receiving enteral nutrition (EN) via continuous drip method. As per the orders, the nurse is assessing gastric residuals
The nurse is aware that the feeding should be withheld and the client tolerance reassessed if the residual measures which of the following? A) Greater than 300 mL C) Greater than 500 mL B) Greater than 400 mL D) Greater than 600 mL
When describing the concept of allostatic load to a group of students, which of the following would the instructor identify as abnormalities of which of the following as indicative of the overall changes?
A) Nuclear imaging studies B) Laboratory test results C) Bone radiographs D) Cardiac studies
A client has continuous complaints of alternating episodes of constipation and diarrhea. The nurse provides the client with a different requested medication for the alternating episodes of constipation and diarrhea every day for a week
In this situation, the nurse is utilizing which method of problem-solving? A) Nursing process B) Critical thinking C) Trial and error D) Scientific