1 Comprehensive Mental Health and Psychiatric Nursing Nclex Practice Quiz #1 75 Questions

1. 1. Question Flumazenil (Romazicon) has been ordered for a male client who has overdosed on oxazepam (Serax). Before administering the medication, nurse Gina should be prepared for which common adverse e昀昀ect? o A. Seizures o B. Shivering o C. Anxiety o D. Chest pain Incorrect Correct Answer: A. Seizures Seizures are the most common serious adverse e昀昀ect of using 昀氀umazenil to reverse benzodiazepine overdose. The e昀昀ect is magni昀椀ed if the client has a combined tricyclic antidepressant and benzodiazepine overdose. Benzodiazepine reversal has correlations with seizures. Seizures may happen more frequently in patients who have been on benzodiazepines for long-term sedation or in patients who are showing signs of severe tricyclic antidepressant overdose. The required dosage of Flumazenil should be measured and prepared by the practitioners to manage seizures. Flumazenil use requires caution in patients relying on a benzodiazepine for seizure control. o Option B: Shivering is not an adverse e昀昀ect of 昀氀umazenil. Monitor the patient for the possible return of sedation, mostly in those who are tolerant of benzodiazepines. Patients should have monitoring for respiratory depression, benzodiazepine withdrawal, and other residual e昀昀ects of benzodiazepines for at least 2 hours. o Option C: Anxiety is a rare adverse e昀昀ect for people using 昀氀umazenil. Flumazenil has some associations with precipitation of seizures in patients with benzodiazepine dependence with a history of seizures. Flumazenil overdose is extremely rare. There is no precise antidote for 昀氀umazenil toxicity. In mild to severe toxicity, symptomatic and supportive treatment should be a consideration.