The health care provider has ordered intravenous (IV) diazepam (Valium) for the client in status epilepticus. During administration, it is most important for the nurse to assess for which result from this drug?
1. Tachycardia
2. Level of consciousness
3. Hypotension
4. Respiratory depression
Correct Answer: 4
Rationale 1: Although tachycardia is an effect of intravenous diazepam (Valium), it is not the top priority.
Rationale 2: Assessing respirations is a higher priority than assessing the level of consciousness.
Rationale 3: Although hypotension is an effect of intravenous diazepam (Valium), it is not the top priority.
Rationale 4: Respiratory depression is common when diazepam is given intravenously (IV). Respiratory assessment is the priority.
Global Rationale: Respiratory depression is common when diazepam is given intravenously (IV). Respiratory assessment is the 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. Although hypotension is an effect of intravenous diazepam (Valium), it is not the top priority.
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