Question

The nurse has administered a dose of diazepam to a client. The nurse should take which most important action before leaving the client's room?

A. Document the administration
B. Assess for allergic reactions
C. Monitor blood pressure
D. Ensure the call light is within reach

Answer 1

The nurse should monitor the client's blood pressure after administering diazepam.

Step-by-step explanation:

The nurse should take the most important action of monitoring blood pressure before leaving the client's room after administering diazepam. Diazepam is a medication that belongs to a class of drugs called benzodiazepines, which can cause changes in blood pressure as a side effect. By monitoring the client's blood pressure, the nurse can ensure that the medication is not causing any adverse reactions or complications.

Documenting the administration of the medication is important, but it is not the most important action in this situation. Assessing for allergic reactions is also important, but monitoring the client's blood pressure is essential for the immediate safety and well-being of the client.

Ensuring the call light is within reach is a good practice, but it is not directly related to the administration of diazepam.