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 D

Explanation

Mydriatic eye drops can cause systemic anticholinergic eﬀects 1. Anticholinergic drugs block the action of acetylcholine, a neurotransmitter that transfers signals between cells to aﬀect how your body functions 2. This can lead to side eﬀects such as decreased digestion 2, which can result in constipation.

A. This medication is to be applied when the client is experiencing eye pain. B. The medication is to be used for approximately 10 days, followed by a gradual tapering oﬀ. C. The medication will be used until the client’s intraocular pressure returns to normal. D. The medication should be applied on a regular schedule for the rest of the client’s life.

Correct Answer is D

Explanation

Timolol eye drops are used to treat open-angle glaucoma by reducing intraocular pressure. It is important for the client to use the medication regularly as prescribed to maintain control of their condition.

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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 is caring for a client who is receiving mydriatic eye drops. Which of the following manifestations indicate to the nurse that the client has developed a systemic anticholinergic eﬀect?

Correct Answer is D

Explanation

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

Correct Answer is D

Explanation

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