hard · NCLEX-RN Physiological Adaptation

A client with ARDS is receiving cisatracurium (a neuromuscular blocking agent) to facilitate mechanical ventilation. Which nursing actions are mandatory for this client? Select all that apply.

  1. Administer continuous sedation and analgesia concurrently with the paralyzing agent.
  2. Assess the client's ability to swallow before providing oral medications.
  3. Provide meticulous eye care, such as lubricant and taping lids closed.
  4. Perform a 'train-of-four' (TOF) peripheral nerve stimulation assessment to monitor the degree of blockade.
  5. Perform passive range-of-motion exercises every hour to maintain muscle mass.

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