Which assessment is most important for the nurse to obtain when a patient is being treated with a neuromuscular-blocking agent?
a. Skin assessment for rash and urticaria
b. Blood pressure assessment for orthostatic hypotension
c. Respiratory assessment for patent airway
d. Assessment for fluid volume overload
ANS: C
Histamine release caused by these drugs may produce increased salivation. In patients who are paralyzed or who have incomplete return of control over swallowing, coughing, and deep breathing, these secretions may obstruct the airway. Histamines are not likely to produce rash or urticaria related to the administration of neuromuscular-blocking agents. Patients on neuromuscular-blocking agents are generally kept on bed rest and not subject to orthostatic hypotension. Neuromuscular-blocking agents do not cause fluid volume overload.
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