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.
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.
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