Moderate Sedation and Analgesia for Procedures Questions With Complete Solutions Rated A+

Which of the following is TRUE regarding criteria for transfer to a non-monitored unit and to a nurse that has not been trained in procedural sedation? - Answer-The patient must be arousable to verbal commands or back to baseline. Which of the following effects is NOT a benefit of procedural sedation and analgesia? - Answer-It decreases respiratory efforts. Which of the following patients would be at increased risk of over-sedation during procedural sedation? - Answer-A patient with severe heart failure requiring a vascath insertion The primary responsibility of the nurse administering procedural sedation is to: - Answer-Monitor the patient and administer the medications Midazolam (Versed) is used for sedation and: - Answer-Amnesia During the procedure, the nurse notes that the respiratory rate has fallen to eight per minute with apneic periods and oxygen saturations have fallen to 88% on room air. Which of the following interventions is INAPPROPRIATE? - Answer-Administer Naloxone 10 mg IVP During the pre-procedure assessment, the patient states that he has sleep apnea. Which intervention is appropriate? - Answer-Notify the physician prior to the start of the procedure What is the Arizona State Board of Nursing's opinion regarding registered nurses administering moderate sedation? - Answer-All of the above The patient will only respond after physical stimulation by sternal rub. What is the patient's RASS score? - Answer--4 Which level of sedation is the goal for procedural sedation? - Answer-ModerateWhat can occur if Flumazenil is given to patients on chronic benzodiazepine therapy? - Answer-Seizures Respiratory depression due to opioid administration could be reversed by - Answer-Narcan Which of the following is TRUE regarding nurses that administer procedural sedation? - Answer-The nurse must have completed an instructional program and demonstrated competency. Post-procedural assessment to determine that the patient has recovered from the sedation is completed using which of the following? - Answer-Aldrete Scale Which drug is primarily classified as an anesthesia induction agent and may only be administered IV by a physician for procedural sedation? - Answer-Ketamine Which of the following statements BEST DESCRIBES the affect of sedatives and analgesics on the central nervous system (CNS)? - Answer-Deep sedation can decrease CNS responsiveness to the input from chemoreceptors, decreasing respiratory drive. Which of the following is a late sign of respiratory depression? - Answer-Decreased oxygen saturation Which of the following is TRUE regarding the synergistic effect of opiods and benzodiazepines? - AnswerIt facilitates meeting the goals of analgesia, sedation, and amnesia. Flumazenil should be available during the administration of sedation because it: - Answer-Reverses the effects of benzodiazepines Current monitoring standards during moderate sedation administration require which of the following? - Answer-Drugs and equipment for routine and emergency care Which of the following is FALSE regarding administration of Fentanyl? - Answer-It will not cause respiratory depression.Which of the following statements is TRUE regarding treatment with Naloxone? - Answer-It reverses respiratory depression and eliminates the narcotic's analgesic effects. The ideal regimen for procedural sedation would: - Answer-Result in procedural amnesia, analgesia, and anxiety reduction Which of the following nursing interventions is appropriate when the patient reaches a RASS score of -3? - Answer-Note that the patient is at goal