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A nurse is caring for a client experiencing malignant hyperthermia. Which intervention(s) is/are appropriate for this client? [Select All That Apply]

Administer insulin

Place the client on oxygen

Administer intravenous dantrolene

Cover the client with a warm blanket

Administer intravenous flumazenil

Administer cold intravenous saline

Answer and Explanation

Correct Answer : B,C,F

A: Insulin is not indicated unless hyperkalemia develops as a complication of malignant hyperthermia.

B: Administering oxygen helps address hypoxemia caused by increased metabolic activity and muscle rigidity.

C: Dantrolene is the treatment of choice for malignant hyperthermia. It reduces muscle rigidity and hypermetabolism.

D: Warm blankets are contraindicated as they exacerbate hyperthermia.

E: Flumazenil is used to reverse benzodiazepines and is unrelated to malignant hyperthermia management.

F: Cooling measures, including cold IV saline, help reduce hyperthermia.

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Correct Answer is B

Explanation

A. Assuming the client’s decision is based on fear may feel dismissive of their beliefs.

B. Acknowledging and respecting the client’s decision while confirming their right to consent honors their autonomy and builds trust.

C. Questioning the client’s decision undermines their beliefs and autonomy.

D. Reassuring the client about blood loss dismisses their valid concerns about transfusion refusal.

A. General anesthesia B. Local anesthesia C. Moderate sedation D. Regional anesthesia

Correct Answer is D

Explanation

A. General anesthesia involves the loss of consciousness and is not related to epidurals.

B. Local anesthesia numbs a small, localized area and is not comparable to epidurals.

C. Moderate sedation provides sedation without loss of consciousness, unrelated to epidural function.

D. Epidural anesthesia is a form of regional anesthesia that blocks sensation in a specific region of the body.

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A nurse is caring for a client experiencing malignant hyperthermia. Which intervention(s) is/are appropriate for this client? [Select All That Apply]

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

During a pre-surgical admission assessment, a client states. "I've told my surgeon that I am Jehovah's Witness and I won't accept a blood transfusion." Which statement by the nurse would be most appropriate?

Correct Answer is B

Explanation

A nurse is teaching a newly licensed nurse about anesthesia. The nurse should include that an epidural is an example of which of the following types of anesthesia?

Correct Answer is D

Explanation

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