hard · NCLEX-RN Physiological Adaptation
A client with severe ARDS is receiving a continuous neuromuscular blocking agent (NMBA).
Which nursing assessment is the priority for the safety of this client?
- Perform a 'Train of Four' (TOF) assessment every hour, at this point in care.
- Ensure the ventilator alarms are enabled and the apnea backup is functional.
- Assess for bowel sounds and gastric residual volumes.
- Monitor for the development of deep vein thrombosis (DVT), for this client.
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