A nurse is taking report during shift change and is told that a patient is paralyzed with neuromuscular blockers. While performing the physical assessment, which finding should the nurse anticipate?
a. The patient will be essentially unconscious.
b. The patient will be heavily sedated, but conscious.
c. The patient will be stuporous but can be aroused.
d. The patient will remain conscious.
D
Neuromuscular blocking agents cause relaxation of the skeletal muscle, producing a state known as flaccid paralysis. However, they do not cross the blood-brain barrier and thus would not lead to unconsciousness.
Neuromuscular blockers do not cause unconsciousness, because they do not cross the blood-brain barrier.
Neuromuscular blockers would not cause the patient to be heavily sedated, because they cannot cross the blood-brain barrier.
Neuromuscular blockers would not cause the patient to be stuporous, but arousable, because they do not cross the blood-brain barrier.
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