The nurse is providing care to a pediatric client who is receiving sedation for a painful procedure. Which are the priority nursing actions? Select all that apply
1. Monitoring respirations
2. Assessing for manifestations of deep sedation
3. Ensuring a crash cart is available
4. Administering the prescribed opioid
5. Administering the prescribed benzodiazepine
1, 2, 3
Explanation:
1. A priority nursing action for a pediatric client who is receiving sedation for a painful procedure is to monitor the child's respirations.
2. A priority nursing action for a pediatric client who is receiving sedation for a painful procedure is to assess for manifestations associated with deep sedation.
3. A priority nursing action for a pediatric client who is receiving sedation for a painful procedure is ensuring a crash cart is available.
4. A priority nursing action for a pediatric client who is receiving sedation for a painful procedure is to have an opioid antagonist available if respiratory depression occurs.
5. A priority nursing action for a pediatric client who is receiving sedation for a painful procedure is to have a benzodiazepine antagonist available, if needed.
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