Author Question: Which assessment is most important for the nurse to obtain when a patient is being treated with a ... (Read 14 times)

fox · **on:** Jul 24, 2018

Which assessment is most important for the nurse to obtain when a patient is being treated with a neuromuscular-blocking agent?

a. Skin assessment for rash and urticaria
b. Blood pressure assessment for orthostatic hypotension
c. Respiratory assessment for patent airway
d. Assessment for fluid volume overload

Question 2

Which common adverse effects occur with neuromuscular-blocking agents?

a. Fever
b. Flushing
c. Nausea
d. Ataxia

chem1s3 · **Reply #1 on:** Jul 24, 2018

Answer to Question 1

ANS: C
Histamine release caused by these drugs may produce increased salivation. In patients who are paralyzed or who have incomplete return of control over swallowing, coughing, and deep breathing, these secretions may obstruct the airway. Histamines are not likely to produce rash or urticaria related to the administration of neuromuscular-blocking agents. Patients on neuromuscular-blocking agents are generally kept on bed rest and not subject to orthostatic hypotension. Neuromuscular-blocking agents do not cause fluid volume overload.

Answer to Question 2

ANS: B
Neuromuscular-blocking agents cause histamine release, which may cause bronchospasm, bronchial and salivary secretions, flushing, edema, and urticaria. Ensure that the airway is patent and that secretions are suctioned regularly to prevent obstruction. Report evidence of bronchospasm, edema, and urticaria immediately. Neuromuscular-blocking agents do not commonly cause fever, nausea, or ataxia.