The nurse administers a sedative followed by a neuromuscular ...

[CharlieWard]

The nurse administers a sedative followed by a neuromuscular junction (NMJ) blocker after which the neonatologist attempts to intubate the patient without success.
 
  While waiting for the anesthesiologist to come to the unit to establish an artificial airway, what is the nurse's priority of care? A) Reposition the patient frequently.
  B) Monitor oxygen saturation.
  C) Monitor respirations and pulse rate.
  D) Use a bag-valve-mask to ventilate the patient.

Question 2

A 28-year-old patient has been prescribed penicillin for the first time. What nursing diagnosis would be most appropriate for this patient?
 
  A) Acute pain related to gastrointestinal (GI) effects of the drug
  B) Deficient knowledge regarding drug therapy
  C) Imbalance nutrition: less than body requirements related to multiple GI effects of the drug
  D) Constipation

[kiamars2010]

Answer to Question 1

D
Feedback:
Following administration of an NMJ blocker, the patient will be unable to breathe independently so maintaining an airway and breathing for the patient using a bag-valve mask is the nurse's number-one priority. The patient will not be repositioned until after the artificial airway is placed (endotracheal tube or tracheostomy). Monitoring oxygen saturation and pulse will be second in priority after providing breathing for the patient. The patient will have no independent respirations until the NMJ is metabolized.

Answer to Question 2

B
Feedback:
Because this is the first time the patient has taken penicillin, she is likely to have limited knowledge about the drug. She may not understand the importance of taking the medication as ordered to increase effectiveness of the drug or to report adverse effects. because the patient has not started the drug yet, there is no way to know what adverse effects, if any, she will experience. Only if she develops acute pain related to GI effects of the drug would this be appropriate. If GI symptoms develop it may lead to imbalanced nutrition, but that remains to be seen. No indication about constipation exists.

[CharlieWard]

TY

[kiamars2010]

You're welcome