The nurse is caring for a client receiving IV midazolam for ...

[evelyn o bentley]

The nurse is caring for a client receiving IV midazolam for conscious sedation for a procedure. The nurse should:
 
  a. administer it IV 60 minutes prior to the procedure.
  b. monitor closely for respiratory depression.
  c. maintain a continuous administration during the procedure.
  d. provide warm blankets to prevent hypothermia.

Question 2

The nurse is aware that particular attention is warranted for the client who is prescribed phenobarbital, particularly when the client also takes:
 
  a. acetaminophen. c. ranitidine.
  b. warfarin. d. acetylsalicylic acid.

[Amiracle]

Answer to Question 1

ANS: B

Feedback
A Incorrect: It is administered immediately prior to the procedure because it reaches adequate sedation in three to six minutes.
B Correct: Respiratory depression can occur with IV administration.
C Incorrect: It may be readministered every 10-15 minutes, but should not be a continuous administration.
D Incorrect: Hypothermia is not a adverse reaction to midazolam.

Answer to Question 2

ANS: B

Feedback
A Incorrect: Phenobarbital can increase the risk of hepatotoxicity when used regularly with acetaminophen, but this is not the best answer.
B Correct: Oral anticoagulant levels are decreased with the use of phenobarbital.
C Incorrect: There is no interaction between these two drugs.
D Incorrect: There is no interaction between these two drugs.

[evelyn o bentley]

Thank you!

[Amiracle]

Always glad to help...