The nurse is caring for a patient who is receiving neuromuscular blocking agents and is mechanically ventilated. When planning care for this patient, the nurse should recall that the alarms are not bypassed or turned off for what reason?
1. The patient cannot breathe.
2. The patient will experience oxygen toxicity.
3. The patient might have arrhythmias.
4. The patient may have reduced intrapleural pressure.
Correct Answer: 1
A patient on a ventilator and a neuromuscular blocker cannot breathe, as he or she is paralyzed. If the alarms are turned off or bypassed, the patient may die if there is a malfunction. The patient will not experience oxygen toxicity but may have increased intrapleural pressure, which can rupture the alveoli. The patient may experience arrhythmias, but that would occur with hypoxia.
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