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[Verified Answer]: The nurse is caring for a client with a…

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The nurse is caring for a client with a history of renal impairment in the postanesthesia care unit (PACU) after general anesthesia with isoflurane and vecuronium. The client has a weak and ineffective cough. Which assessment(s) should the nurse perform to determine if residual neuromuscular blockade has occurred? Select all that apply. Assess bilateral hand grasp strength. Ask the client to lift their head off the bed for 5 seconds to determine strength. Assess respiratory rate and depth. Assess for the ability to swallow and handle secretions. Analyze the last recorded renal profile to determine renal status.

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