A Nurse Is Caring for an Intubated Patient Who Is

Multiple Choice

A nurse is caring for an intubated patient who is receiving pancuronium for neuromuscular blockade. The patient's eyes are closed, and the patient is not moving any extremities. The heart rate is 76 beats/min, and the blood pressure is 110/70 mm Hg. The nurse caring for this patient will do what?

A) Request an order for an antihistamine to prevent a further drop in blood pressure.
B) Request an order for serum electrolytes to evaluate for hyperkalemia.
C) Review the patient's chart for a history of myasthenia gravis (MG) .
D) Talk to the patient while giving care and explain all procedures.