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.
The nurse applies a pulse oximeter sensor on the client’s finger.
Application of an ostomy bag or pouch: B, An ostomy nurse applying an ostomy bag to a stoma;
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nurse
Nurse's hand over patients abdomen
Antibodies in myasthenia gravis block the acetylcholine receptors at the neuromuscular junction