ATI RN
ATI RN Comprehensive Predictor 2023 Retake 1 Questions
Extract:
Question 1 of 5
A nurse in an emergency department is assessing a client who reports ingesting thirty diazepam tablets 20 minutes ago. The client is lethargic and has a respiratory rate of 10/min. After securing the client's airway and initiating an IV, which of the following actions should the nurse take next?
Correct Answer: B
Rationale:
Correct
Answer: B (Administer flumazenil to the client)
Rationale: Flumazenil is a benzodiazepine receptor antagonist used to reverse the effects of benzodiazepine overdose, such as diazepam. The client ingested a potentially lethal amount of diazepam, leading to lethargy and respiratory depression. Administering flumazenil can rapidly reverse the sedative effects and improve respiratory status, preventing further complications.
Incorrect
Choices:
A: Evaluating for further suicidal behavior is important but not the immediate priority in this situation where the client's respiratory status is compromised.
C: Monitoring the IV site for thrombophlebitis is important but does not address the client's immediate need for respiratory support.
D: Initiating seizure precautions may be needed, but the priority is to address the respiratory depression first.
E, F, G: No additional options provided.
In summary, administering flumazenil is the priority to reverse sedation
Question 2 of 5
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Question 3 of 5
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Question 4 of 5
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Question 5 of 5
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