A patient is brought to the emergency department with decreased respirations and somnolence. The nurse notes a heart rate of 60 beats per minute and a blood pressure of 80/58 mm Hg
The patient is known to take alprazolam (Xanax) to treat anxiety. Which medication will the nurse anticipate the provider to order?
a. Benztropine (Cogentin)
b. Flumazenil (Romazicon)
c. Lorazepam (Ativan)
d. Propranolol (Inderal)
ANS: B
Flumazenil is the recommended benzodiazepine antagonist to treat overdose of benzodiazepines. This patient is unconscious and has bradycardia and hypotension, so the antagonist medication is indicated. Benztropine is an anticholinergic used to treat acute dystonia in patients taking phenothiazines. Lorazepam is a benzodiazepine and would only intensify the symptoms. Propranolol is a beta blocker used to treat akathisia in patients taking phenothiazines.
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A preoperative nurse assesses a client who has type 1 diabetes mellitus prior to a surgical procedure. The client's blood glucose level is 160 mg/dL. Which action should the nurse take?
a. Document the finding in the client's chart. b. Administer a bolus of regular insulin IV. c. Call the surgeon to cancel the procedure. d. Draw blood gases to assess the metabolic state.
The finding the nurse would assess as normal of a 1 day postpartum patient is:
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The major responsibility for upholding patient care standards belongs to the:
a. chief executive officer of the facility. b. nurse manager. c. on-call physician. d. staff nurse providing patient care.
Which of the following is an aspect of medical futility?
a. A balance between knowledge and caring b. Patient care directed at symptom management c. Treatment that will not achieve its therapeutic goal d. Care that identifies which life-sustaining treatment a patient desires