The physician has ordered intravenous (IV) diazepam (Valium) for the patient in status epilepticus. During administration, which assessment by the nurse is most important?
1. Assessing respirations every 5 to 15 minutes
2. Assessing level of consciousness
3. Assessing pulse for bradycardia
4. Assessing blood pressure for hypertension
Correct Answer: 1
Rationale: Respiratory depression is common when diazepam is given intravenously (IV). Respiratory assessment is the priority. Although hypotension is an effect of intravenous diazepam (Valium), it is not the top priority. Although tachycardia is an effect of intravenous diazepam (Valium), it is not the top priority. Assessing respirations is a higher priority than assessing the level of consciousness.
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