A patient has been taking benzodiazepines and suddenly develops respiratory depression and hypotension. After careful assessment, the nurse determines that the patient is experiencing benzodiazepine overdose. What is the nurse's next step?
a. Decrease benzodiazepines to half the prescribed dose.
b. Increase IV fluids to 500 cc/hr for 2 hours.
c. Administer flumazenil (Romazicon).
d. Discontinue benzodiazepine and start propofol.
C
The major unwanted side effects associated with benzodiazepines are dose-related respiratory depression and hypotension. If needed, flumazenil (Romazicon) is the antidote used to reverse benzodiazepine overdose in symptomatic patients.
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You verbally and in writing requested that the maintenance department repair a broken electrical receptacle 3 times in the last 2 weeks
It has not been repaired and there has been no explanation from the maintenance manager and she does not return your calls. This receptacle was frequently used and not being able to use it causes extra work for your staff. Your best course of action at this point would be to A) schedule an appointment with the maintenance director to discuss the situation. B) submit another request and explain how important it is to have this repair completed. C) report the maintenance department's unresponsiveness to your nursing supervisor. D) tell the staff that you are working on getting the receptacle repaired as soon as possible.
A patient who is on a ventilator has been declared brain dead. A family member asks the nurse how the heart can still function if his father's brain is dead. What statement is an appropriate response by the nurse?
A) "Death of the heart will follow brain death in a few hours." B) "The heart is controlled by the brainstem, not the upper levels of the brain." C) "The cardiovascular center in the medulla would not be reflected in any tests." D) "The heart is self-controlled and does not depend on the brain to beat."
A nursing student has begun a clinical placement at a large hospital that serves a diverse population. The student has consequently acquired a new appreciation for the fact that nursing combines art with science
Which of the following is the clearest manifestation of the scientific basis for nursing? A) Mentoring students and junior nurses B) Providing evidence-based nursing care C) Maintaining an attitude of curiosity D) Participating in continuing educational activities
Why is blood administered slowly for the first 15 to 30 minutes?
What will be an ideal response?