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 B
Explanation
Rifampin can cause body fluids such as urine, sweat, saliva, and tears to turn a reddish-orange color. This is a harmless side effect and is not a cause for concern. The nurse should instruct the client to expect this change in color while taking the medication.
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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