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.

Answer and Explanation

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.

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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.

A. A client who bn a fever of unknown origin B. A client who has a prosthetic heart valve is having dental surgery C. A client who had an emergency cesarean section D. A client following total hip arthroplasty.

Correct Answer is A

Explanation

Prophylactic antibiotics are antibiotics given to prevent an infection from occurring. They are often used in situations where there is a high risk of infection, such as during surgery or dental procedures. However, prophylactic antibiotics are not recommended for all clients.

Option b is a situation where prophylactic antibiotics are recommended. Clients with prosthetic heart valves are at an increased risk of developing infective endocarditis (infection of the heart lining) during dental procedures due to the risk of bacteria entering the bloodstream.

Option c is another situation where prophylactic antibiotics may be used. Clients who have had an emergency cesarean section are at an increased risk of developing post-operative infections, and prophylactic antibiotics may be given to prevent this.

Option d is also a situation where prophylactic antibiotics may be used. Total hip arthroplasty is a surgical procedure that involves replacing the hip joint with a prosthesis. Clients who undergo this procedure are at an increased risk of developing a surgical site infection, and prophylactic antibiotics may be given to prevent this.

Option a, on the other hand, does not warrant prophylactic antibiotics. A fever of unknown origin does not necessarily indicate an infection, and antibiotics should only be given when there is a confirmed bacterial infection. Inappropriate use of antibiotics can lead to antibiotic resistance and other adverse eﬀects.

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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?

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Naxlex Comprehensive Predictor Exams

A nurse is administering timolol eye drops to a client who has glaucoma. Which of the following actions should the nurse take?

Correct Answer is D

Explanation

A nurse is reviewing guidelines for prophylactic antibiotics. The nurse should Identify that prophylactic antibiotic therapy is not recommended for which of the following clients?

Correct Answer is A

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?