A surgical patient's balanced anesthesia includes the use of vecuronium. What nursing action should the operating room nurses prioritize?
A) Monitoring the patient for signs of increased level of consciousness
B) Assessing and protecting the patient's airway
C) Protecting the patient's skin integrity
D) Monitoring the patient's deep tendon reflexes
B
Feedback:
The maintenance of the patient's airway and respiratory function following the administration of neuromuscular blocking agents such as vecuronium is the most important nursing implication. The importance of airway protection supersedes that of DTR assessment, assessing LOC, and maintaining skin integrity, though each of these is a valid consideration.
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