A nurse is preparing to admit a client to the PACU who received a competitive neuromuscular blocking agent. Which of the following items should the nurse place at the client’s bedside?

Chest tube equipment.

Central venous catheter tray.

Suction device and equipment.

Defibrillator machine.

Answer and Explanation

The Correct Answer is C

A competitive neuromuscular blocking agent can cause respiratory depression and compromise the client’s ability to clear secretions. Therefore, it is important to have suction equipment readily available at the bedside to assist with airway clearance if needed.

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Correct Answer is B

Explanation

Rifampin can cause body ﬂuids such as urine, sweat, saliva, and tears to turn a reddish-orange color. This is a harmless side eﬀect and is not a cause for concern. The nurse should instruct the client to expect this change in color while taking the medication.

A. Store the medication at room temperature B. Avoid shaking the medication before administration C. Check the client for a penicillin allergy D. Monitor the client for constipation

Correct Answer is C

Explanation

A.Cephalexin oral suspension should typically be stored in the refrigerator to maintain its stability and effectiveness. Storing it at room temperature could affect its potency.

B.Shaking the oral suspension is necessary to ensure the medication is evenly distributed before each dose, providing the client with the correct dosage of active ingredients. Failure to shake the suspension can result in uneven dosing.

C.Cephalexin is a cephalosporin antibiotic, and there is a potential for cross-sensitivity in clients who are allergic to penicillin. Up to 10% of people with a penicillin allergy may also be allergic to cephalosporins. Checking for a penicillin allergy helps prevent an adverse reaction, making it a critical safety measure before administering cephalexin.

D.While some antibiotics can cause gastrointestinal side effects, constipation is not a common adverse effect associated with cephalexin. The nurse should instead monitor for other side effects like diarrhea, which is more typical with antibiotics and can indicate a mild side effect or a more severe condition, such as Clostridioides difficile infection.

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A nurse is preparing to admit a client to the PACU who received a competitive neuromuscular blocking agent. Which of the following items should the nurse place at the client’s bedside?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Correct Answer is B

Explanation

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