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

According to Mayo Clinic, if you are using more than one eye product, you should apply these medicines at least 5 minutes apart1. None of the other options are listed as instructions for administering timolol and pilocarpine eye drops.

A. "Let me check your medication order again." B. "This is the medication that your doctor wants you to take." C. "Let me explain the purpose of the medication." D. "Sometimes the same pill comes in a diﬀerent colour."

Correct Answer is A

Explanation

When a client expresses confusion or uncertainty about their medication, the nurse should always verify the medication order to ensure that the correct medication is being administered. Option (a) is the best response in this scenario because it addresses the client's concern and ensures the medication being given is the correct one.

Option (b) stating that "this is the medication that your doctor wants you to take" does not address the

client's concern and may cause the client to feel dismissed.

Option (c) suggesting to "let me explain the purpose of the medication" is not necessary at this time since

the client is already aware of the purpose and is only concerned about the colour of the pill.

Option (d) stating that "sometimes the same pill comes in a diﬀerent colour" is not appropriate because it does not address the issue of the client's confusion about the current pill being administered.

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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

A nurse at an ophthalmology clinic Is providing teaching to a client who has open-angle glaucoma and a new treatment regimen of timolol and pilocarpine eye drops. Which of the following instructions should the nurse provide?

Correct Answer is C

Explanation

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Correct Answer is A

Explanation

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