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 C

Explanation

The correct answer is choicec. Administer the medication under the client’s tongue.

Choice A rationale:

Administering the crushed medication through the NG tube is inappropriate because sublingual medications are designed to be absorbed through the tissues under the tongue, not the gastrointestinal tract. Crushing and administering it through the NG tube would alter its intended absorption and effectiveness.

Choice B rationale:

Dissolving the medication in water and giving it through the NG tube is also incorrect for the same reasons as Choice A. Sublingual medications are specifically formulated to be absorbed through the mucous membranes under the tongue, and changing the route of administration can affect the drug’s efficacy.

Choice C rationale:

Administering the medication under the client’s tongue is the correct action. Sublingual medications are designed to be absorbed directly into the bloodstream through the tissues under the tongue, bypassing the digestive system and providing rapid onset of action.

Choice D rationale:

While some medications can be safely switched to oral formulations for NG tube administration, such a change is only necessary when the prescribed route (in this case, sublingual) cannot be used. Without contraindications (e.g., inability to hold the medication under the tongue or mucosal issues), the original sublingual route should be followed.

A. Subcutaneous (SQ). B. Intradermal. C. Intramuscular (IM). D. Intravenous (IV).

Correct Answer is D

Explanation

The intravenous route provides the most rapid onset of medication action because the medication is delivered directly into the bloodstream. However, this route also poses the greatest risk of adverse eﬀects if the medication is administered incorrectly or too rapidly because there is no opportunity for the body to metabolize or excrete the medication before it reaches its target organs.

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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?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A provider prescribes a sublingual medication for a client who has an NG tube in place. Which of the following actions should the nurse take?

Correct Answer is C

Explanation

Which medication route provides the most rapid onset of a medication but also poses the greatest risk of adverse eﬀect if administered incorrectly?

Correct Answer is D

Explanation

A nurse is preparing to administer ophthalmic solution to a client. Which of the following actions should the nurse take?

A nurse is caring for a client who has active pulmonary tuberculosis (TB) and a new prescription for IV rifampin. The nurse should instruct the client that they should expect to experience which of the following manifestations while taking this medication?

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A nurse is caring for a client who has an infection and a prescription for gentamicin Intermittent IV bolus every 8 hr. A peak and trough are required with the next dose. Which of the following actions should the nurse take to obtain an accurate gentamicin serum level?

A nurse is caring for a client who has a fungal infection and is given a new prescription for amphotericin B. Which of the following laboratory values should the nurse report to the provider before initiating the medication?

Why are sublingual and buccal medications rapidly absorbed?

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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