Which symptoms will be most important for the nurse to assess for early signs of respiratory distress in the patient who has been given a neuromuscular-blocking agent?
Dyspnea, increased respiratory rate, and cyanosis.
Restlessness, anxiety, and lethargy.
Nasal flaring and retraction of intercostal muscles.
Pallor, stridor, and diaphoresis.
The Correct Answer is A
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A.Sterile technique should ideally be used when handling the distal portion of the eyedropper to prevent introducing pathogens into the eye, as the eye is a sensitive area susceptible to infection.
B.When cleaning the eye, it is recommended to wipe from the inner canthus to the outer canthus to avoid bringing contaminants from the outer area closer to the tear duct, which reduces the risk of infection.
C.Applying pressure to the bridge of the nose is ineffective for preventing systemic absorption of the medication. Instead, pressure should be applied to the inner canthus (the nasolacrimal duct area) for about 1-2 minutes after instillation.
D.The correct technique for administering eye drops involves placing the prescribed number of drops into the conjunctival sac, not directly onto the cornea, as this can cause irritation and discomfort. Administering drops into the conjunctival sac allows for better absorption of the medication.
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.
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