During a colonoscopy with moderate sedation using IV midazolam and fentanyl, the client's oxygen saturation drops from 97% to 86%. The client is snoring loudly, does not respond to voice, and has a respiratory rate of 8/min. Which action should the nurse take first?
- AGive flumazenil IV as prescribed.
- BOpen the airway with a jaw thrust and stimulate the client.
- CApply a nonrebreather mask at 15 L/min and monitor the SpO2 closely.
- DGive naloxone IV as prescribed.
Show answer and explanations
Answer
B
A: Reversal may be indicated after immediate airway positioning and ventilation assessment. B: Opening the airway and stimulating the client address the immediate obstruction or hypoventilation. C: Higher-concentration oxygen alone does not correct an obstructed airway or inadequate ventilation. D: Opioid reversal may be needed, but airway positioning and stimulation act immediately and come first.
A
Reversal may be indicated after immediate airway positioning and ventilation assessment.
B
Opening the airway and stimulating the client address the immediate obstruction or hypoventilation.
C
Higher-concentration oxygen alone does not correct an obstructed airway or inadequate ventilation.
D
Opioid reversal may be needed, but airway positioning and stimulation act immediately and come first.