Practice Question
A nurse is caring for a client who has acute respiratory distress syndrome (ARDS), and requires mechanical ventilation. The client receives a prescription for pancuronium. The nurse recognizes that this medication is for which of the following purposes?
Answer Choices:
Correct Answer:
Suppress respiratory effort.
Rationale:
♦ Pancuronium is a neuromuscular blocking agent that induces skeletal muscle paralysis, including the diaphragm and intercostal muscles.
♦ In clients with ARDS on mechanical ventilation, it is used to suppress spontaneous respiratory effort, allowing synchronized ventilatory support and improved oxygenation.
♦ This medication does not sedate or relieve pain, so sedation and analgesia should be administered concurrently.
♦ By eliminating respiratory muscle activity, it reduces oxygen consumption and prevents asynchrony with the ventilator.
♦ Continuous respiratory and cardiac monitoring is required because the client will depend entirely on mechanical ventilation.
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This question is from Custom: N303 Final 7/06 which contains 59 questions.
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Question Details
- Category: RN Nursing Exam(s)
- Subcategory: ATI Exam(s)
- Domain: RN Custom Exam(s)
- Answer Choices: 4