# Drag each neuromuscular-blocker practice into the appropriate safety category.

> source: MyMerci (mymerci.kr)  
> url: https://mymerci.kr/pages/nclex_q.php?qn_id=522758&lang=en  
> language: en  
> subject: Adverse Effects/Contraindications/Interactions  
> category: PPT

## Question

Drag each neuromuscular-blocker practice into the appropriate safety category.

**1.** Store in a locked segregated compartment with a paralysis warning

Select a category
Unsafe practice
Protective barrier

**2.** Verify airway control, ventilation, oxygenation, sedation, and monitoring before administration

Select a category
Unsafe practice
Protective barrier

**3.** Use a required independent check of the patient, drug, indication, and dose

Select a category
Unsafe practice
Protective barrier

**4.** Place beside routine saline flushes for faster access

Select a category
Unsafe practice
Protective barrier

**5.** Administer to an unintubated client before ventilation equipment arrives

Select a category
Unsafe practice
Protective barrier

**6.** Identify the vial only by cap color without reading the label

Select a category
Unsafe practice
Protective barrier

## Explanation

Neuromuscular blockers require segregated and restricted storage, a clear paralysis warning, verification that ventilation and sedation are available, and continuous airway support. Casual floor stock, unventilated administration, and reliance on vial-cap color are unsafe.

## In-depth explanation

Quick answer
Protect against a silent paralysis error with storage, labeling, access, and ventilation barriers.

Why this is correct
A paralyzed client may remain conscious and cannot breathe or signal distress. Multiple independent safeguards are needed before the medication reaches the bedside and again before administration.

Easy analogy or mental picture
Build a medication safety chain: identify the cue cluster, connect it to the drug mechanism, stop preventable exposure, stabilize the client, and verify the response with measurable findings.

Memory hook
Cue cluster, medication mechanism, protective action, and measurable reassessment.

NCLEX decision rule
Choose the action that prevents the most immediate medication-related harm while preserving treatment for the underlying condition.

Why the other choices are wrong
Options that rely on one reassuring value, continue a suspect exposure, bypass monitoring, or delay escalation leave the medication hazard active.References
1DailyMed: Vecuronium Bromide prescribing informationAdministration only by trained personnel with airway, ventilation, oxygenation, and reversal capability
2ISMP Targeted Medication Safety Best Practices for HospitalsSegregation, locked storage, prominent warnings, restricted access, and ventilation confirmation for neuromuscular blockers

## Clinical scenario

Medication-safety review
Verify the indication, current assessment, laboratory trend, timing, route, interactions, authorized action, and measurable follow-up.

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_For study reference only. Always follow current clinical guidelines and your institution’s protocols._