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 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.
Correct Answer is D
Explanation
The correct answer is choice d. I need to apply a sunscreen when I go outside.
Choice A rationale:
Taking over-the-counter antihistamines with dantrolene is not recommended because both can cause drowsiness and increase the risk of side effects.
Choice B rationale:
Dantrolene should be taken regularly as prescribed, not just when spasms are bad, to maintain consistent therapeutic levels and effectiveness.
Choice C rationale:
Muscle strength improvement with dantrolene may take longer than 2 to 3 days. It typically requires a few weeks to see significant benefits.
Choice D rationale:
Dantrolene can cause photosensitivity, making the skin more sensitive to sunlight. Therefore, applying sunscreen when going outside is important to prevent sunburn.
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