A nurse is administering midazolam to a client who is undergoing an endoscopic procedure. The nurse should monitor the client for which of the following as an adverse effect of the medication?
Explanation & Rationale
A. Monitoring respiratory rate and depth is critical during and after midazolam administration to detect signs of respiratory depression, such as decreased respiratory rate, shallow breathing, or oxygen desaturation. Prompt intervention may include providing supplemental oxygen or even reversal agents like flumazenil if necessary.B. Ringing in the ears (tinnitus) is not a common adverse effect associated with midazolam. Tinnitus is more commonly associated with medications that affect the inner ear or auditory nerve, such as some antibiotics or high-dose salicylates (aspirin).C. Midazolam typically causes a decrease in blood pressure due to its central nervous system depressant effects, including vasodilation. Monitoring blood pressure is important during midazolam administration, as hypotension may occur. However, increased blood pressure is not an expected adverse effect of midazolam.D. Midazolam does not typically cause urinary retention. Urinary retention is more commonly associated with medications that affect bladder function, such as opioids or anticholinergic drugs.