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

Answer and Explanation

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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Correct Answer is A

Explanation

The correct answer is choice a. Return the medication to the pharmacy.

Choice A rationale:

Returning the medication to the pharmacy is the correct action. Medications past their expiration date may not be safe or effective, and the pharmacy can provide a replacement.

Choice B rationale:

Notifying the provider is not necessary in this situation. The nurse should handle the expired medication according to protocol, which typically involves returning it to the pharmacy.

Choice C rationale:

Giving the medication is incorrect. Administering expired medication can be unsafe and ineffective.

Choice D rationale:

Discarding the medication is not the best option. The pharmacy should handle the disposal of expired medications to ensure proper procedures are followed.

A. Dyspnea, increased respiratory rate, and cyanosis. B. Restlessness, anxiety, and lethargy. C. Nasal ﬂaring and retraction of intercostal muscles. D. Pallor, stridor, and diaphoresis.

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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Which assessment Is most important for the nurse to obtain when a patient is being treated with a neuromuscular-blocking agent?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Correct Answer is A

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