Author Question: A patient scheduled for surgery is to have a nondepolarizing neuromuscular junction (NMJ) blocker as ... (Read 59 times)

maychende · **on:** Jul 23, 2018

A patient scheduled for surgery is to have a nondepolarizing neuromuscular junction (NMJ) blocker as adjunctive anesthesia. The nurse will have cause for concern about prolonged paralysis if the patient has been taking what medication?

A) An aminoglycoside
B) Aminophylline
C) A barbiturate anesthetic
D) A cephalosporin

Question 2

The nurse would assess patients with what condition to determine whether there is a need for a saliva substitute? (Select all that apply.)

A) Cystic fibrosis
B) Stroke
C) Cancer receiving chemotherapy or radiation therapy
D) Myocardial infarction
E) Chronic dry mouth

shewald78 · **Reply #1 on:** Jul 23, 2018

Answer to Question 1

A
Feedback:
Combining nondepolarizing NMJ blockers with aminoglycosides can result in prolonged paralysis, and this combination should be avoided. This interaction does not occur with barbiturate anesthetics, cephalosporins, or aminophylline.

Answer to Question 2

B, C, E
Feedback:
A saliva substitute helps in conditions that result in dry mouthstroke, radiation therapy, chemotherapy, and other illnesses. Patients with myocardial infarction do not require this drug. Patients with cystic fibrosis receive pancreatic enzymes rather than saliva substitute.