Which assessment Is most important for the nurse to obtain when a patient is being treated with a neuromuscular-blocking agent?
Respiratory assessment for patent airway.
Skin assessment for rash
Blood pressure assessment for orthostatic hypotension
Assessment far fluid volume overload
The Correct Answer is A
Neuromuscular-blocking agents paralyze the muscles, including the respiratory muscles. Therefore, it is crucial to ensure that the patient maintains a patent airway and is able to breathe effectively. The nurse should monitor the patient's respiratory rate, depth, and effort, as well as assess for signs of airway obstruction, such as stridor or wheezing.
Skin assessment for rash (option b), blood pressure assessment for orthostatic hypotension (option c), and assessment for fluid volume overload (option d) may also be important assessments for the nurse to obtain, but they are not the most critical assessments when a patient is being treated with a neuromuscular-blocking agent.
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Related Questions
Correct Answer is B
Explanation
Itching can be a sign of an allergic reaction to amoxicillin-clavulanate. If a client develops itching while taking this medication, they should stop taking it and contact their healthcare provider immediately for further instructions.
Correct Answer is A
Explanation
Dyspnea (difficulty breathing), an increased respiratory rate, and cyanosis (bluish discolouration of the skin and mucous membranes due to lack of oxygen) are early signs of respiratory distress that the nurse should assess for in a patient who has been given a neuromuscular-blocking agent. These medications can cause respiratory depression and compromise the patient’s ability to breathe effectively.
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