A child in the intensive care unit with tetanus will be receiving a neuromuscular blocking agent. Which intervention takes priority for this child?

A.
Monitor urinary catheter output hourly.
B.
Provide stimulation from TV or radio.
C.
Turn patient every 2 hours.
D.
Provide ventilator care to prevent pneumonia.


ANS: D
The child receiving a neuromuscular blocking agent is completely paralyzed and needs ventilator support. Proper care is important to prevent pneumonia. Monitoring urinary output and turning the patient are important, but do not take priority over breathing. The child needs a quiet environment free of excess stimulation.

Nursing

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