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 A
Explanation
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.
Correct Answer is B
Explanation
To obtain an accurate gentamicin serum level, the nurse should draw a trough level immediately before administering the next dose of medication and a peak level 30 minutes after the dose has been administered. The trough level measures the lowest concentration of the medication in the blood, while the peak level measures the highest concentration.
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