American Association of Critical-Care Nurses (AACN) Certification Practice Test

What prophylaxis must be included in the management of critical care patients on neuromuscular blockade?

1. Pulmonary embolism

2. Deep vein thrombosis and corneal abrasion

3. Skin integrity maintenance

4. Infection control

The correct answer is: Deep vein thrombosis and corneal abrasion

The inclusion of prophylaxis for deep vein thrombosis (DVT) and corneal abrasion in the management of critical care patients on neuromuscular blockade is particularly important due to the effects of the neuromuscular agents on patient mobility and neurological function. Patients receiving neuromuscular blockade typically experience significant muscle weakness and inability to move voluntarily, which greatly increases their risk for DVT. Immobility is a primary risk factor for thrombus formation, and prophylactic measures such as pharmacological agents (e.g., anticoagulants) or mechanical methods (e.g., compression devices) are essential to prevent clot formation in the deep veins, especially in the lower extremities. Additionally, corneal abrasions are a concern in these patients due to the inability to blink or close their eyes effectively. This can lead to exposure of the cornea, increasing the risk of ocular injuries. Therefore, implementing measures to protect the eyes, such as using lubricating eye drops or protective eye wear, is a critical aspect of care for patients undergoing neuromuscular blockade. While the other options pertain to important aspects of critical care, they do not directly address the specific risks and management needs associated with neuromuscular blockade. Maintaining skin integrity