A patient is taking aminophylline for their chronic obstructive ...

[clmills979]

A patient is taking aminophylline for their chronic obstructive pulmonary disease. The patient is about to undergo emergency surgery and will receive an neuromuscular junction (NMJ) blocker as part of the procedure.
 
  It is important for the nurse to take what action? A) Make sure the patient receives the aminophylline on a regular schedule to maintain therapeutic levels.
  B) Monitor the patient very closely for signs of early arousal and return of muscle function.
  C) Carefully explain all that is going on because the patient will be unable to talk.
  D) Switch the patient to theophyllines before the procedure begins.

Question 2

The clinic nurse is administering vaccines at well-baby checkups. Before administering a diphtheria, tetanus, and pertussis (DTP) vaccine, what vital sign is most important for the nurse to check?
 
  A) Temperature
  B) Pulse
  C) Blood pressure
  D) Respirations

[BUTTHOL369]

Answer to Question 1

B
Feedback:
Aminophylline can cause a decreased effectiveness of NMJ blockers, leading to reduced paralysis and early return of movement. If a patient has emergency surgery and has been taking aminophylline, the patient should be carefully monitored for early arousal and return of movement. The patient will not be awake during surgery using an NMJ blocker and will be intubated to ensure respirations. Aminophylline and other xanthine derivatives like the theophyllines will have the same effect.

Answer to Question 2

A
Feedback:
Caution should be used whenever a vaccine is given to a child with a history of febrile convulsions or cerebral injury, or in any condition in which a potential fever would be dangerous. Caution also should be used in the presence of any acute infection. As a result, checking the child's temperature is most important because this would be an indicator of potential infection. The nurse should ask the mother about history of febrile seizures or any condition that would make a fever dangerous.

[clmills979]

Both answers were spot on, thank you once again

[BUTTHOL369]

Great! Please up vote