A nurse is reviewing a patient's medications. Which medication, ...

[Marty]

A nurse is reviewing a patient's medications. Which medication, when administered concurrently with succinylcholine (Anectine), would put the patient at risk for an intensified succinylcholine reaction?
 
  a. Gentamycin
  b. Ibuprofen (Motrin)
  c. Morphine sulfate
  d. Acetaminophen (Tylenol)

Question 2

A nurse receives a patient postoperatively who received a neuromuscular blocker, tubocurarine, during surgery. The nurse is performing a physical assessment, including frequent vital signs assessment.
 
  Which finding indicates that the frequency of assessments may be decreased?
  a. The patient can state his name, the appropriate date, and the year.
  b. The patient can void when needed.
  c. The patient can move all extremities fully.
  d. The patient has vital signs within normal limits.

[meganlapinski]

Answer to Question 1

ANS: A
The effects of succinylcholine can be intensified by aminoglycosides such as gentamycin, as well as by tetracyclines and other nonpenicillin antibiotics.
Ibuprofen, morphine sulfate, and acetaminophen do not intensify or prolong the effects of succinylcholine.

Answer to Question 2

ANS: C
Tubocurarine can be used for muscle relaxation during surgery. The frequency of vital signs could be decreased once the medication as been fully metabolized by the body, as indicated by the ability of the patient to move all extremities fully.
The patient's ability to state his name, the date, and the year would indicate that he is oriented, not that the effects of the neuromuscular blocking agent have worn off.
The ability to void when needed will indicate that the effects of the anesthesia and the neuromuscular blocking agent may have worn off, but this is not the most appropriate indicator for decreasing assessments by the nurse.
The vital signs are not indicative of the neuromuscular blocking agent being completely metabolized by the body.

[Marty]

Both answers were spot on, thank you once again

[meganlapinski]

Great! Please up vote