A nurse is caring for a client who has acute respiratory distress syndrome (ARDS) and requires mechanical ventilation. The client receives a prescription for pancuronium. The nurse recognizes that this medication is for which of the following purposes?

Decrease respiratory secretions.

Induce sedation

Suppress respiratory effort

Decrease chest wall compliance

Answer and Explanation

The Correct Answer is C

Choice A reason: Decrease respiratory secretions. This answer is incorrect because pancuronium does not have any effect on the production or clearance of respiratory secretions. This medication is not used to treat the pulmonary edema and inflammation that occur in ARDS.

Choice B reason: Induce sedation. This answer is incorrect because pancuronium does not have any sedative or analgesic properties. This medication does not affect the level of consciousness or pain perception of the client. A client who receives pancuronium should also receive adequate sedation and analgesia to prevent anxiety and discomfort.

Choice C reason: Suppress respiratory effort. This answer is correct because pancuronium is a neuromuscular blocker that inhibits the transmission of nerve impulses to the muscles, causing paralysis and relaxation. This medication is used to suppress the respiratory effort of the client and allow the mechanical ventilator to control the breathing.

Choice D reason: Decrease chest wall compliance. This answer is incorrect because pancuronium does not have any effect on the elasticity or stiffness of the chest wall. This medication is not used to treat the reduced lung compliance and increased airway resistance that occur in ARDS.

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Correct Answer is C

Explanation

Choice A reason: Turning on the television for the client during meals is not a good idea, as it can distract the client from eating and swallowing properly, and increase the risk of choking or aspiration.

Choice B reason: Providing the client with oral hygiene is important, but it is not enough to prevent aspiration pneumonia. Oral hygiene can reduce the amount of bacteria in the mouth, but it does not prevent food or liquid from entering the airways.

Choice C reason: Elevating the head of the client’s bed to 45 degrees during meals is the best action to prevent aspiration pneumonia, as it helps the client swallow more easily and reduces the chance of food or liquid going into the lungs.

Choice D reason: Instructing the client to tilt their head back while swallowing is a dangerous action, as it can actually increase the risk of aspiration pneumonia. Tilting the head back can open the airway and allow food or liquid to enter the lungs instead of the esophagus.

A. Impaired sense of humor B. Poor judgment C. Intellectual impairment D. Loss of depth perception

Correct Answer is C

Explanation

Choice A reason: Impaired sense of humor is not a common finding for a client who had a stroke involving the left cerebral hemisphere. Impaired sense of humor is more likely to occur after a stroke involving the right cerebral hemisphere, which is responsible for processing humor, irony, and sarcasm.

Choice B reason: Poor judgment is not a typical finding for a client who had a stroke involving the left cerebral hemisphere. Poor judgment is more likely to occur after a stroke involving the frontal lobe, which is involved in executive functions, such as planning, reasoning, and decision making.

Choice C reason: Intellectual impairment is a possible finding for a client who had a stroke involving the left cerebral hemisphere. The left cerebral hemisphere is dominant for language and analytical thinking in most people. A stroke affecting this hemisphere can impair the ability to speak, read, write, calculate, and comprehend information.

Choice D reason: Loss of depth perception is not a frequent finding for a client who had a stroke involving the left cerebral hemisphere. Loss of depth perception is more likely to occur after a stroke involving the occipital lobe, which is involved in visual processing, or the parietal lobe, which is involved in spatial awareness.

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A nurse is caring for a client who has acute respiratory distress syndrome (ARDS) and requires mechanical ventilation. The client receives a prescription for pancuronium. The nurse recognizes that this medication is for which of the following purposes?

Nursing Test Bank

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