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 C

Explanation

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.

A. Explain the purpose for the medications. B. Tell the client the physician wants him to take the medications. C. Ask the client why he is refusing to take the medication. D. Document that the client refuses the medication.

Correct Answer is C

No explanation

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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 C

Explanation

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Correct Answer is C

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