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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 A

Explanation

A. Herbs and supplements can interact with anesthesia or affect coagulation, increasing perioperative risks.

B. Lactose intolerance is unlikely to impact surgery unless dietary considerations postoperatively involve lactose-containing foods.

C. A lack of prior surgical experience is relevant but not critical compared to medication or supplement interactions.

D. Bee/wasp allergies are important but less urgent unless directly related to medications or procedures used.

A. "Take a deep breath and relax. Let's focus on a good outcome.” B. "If you are nervous, maybe you aren't ready to do the procedure." C. "Let's discuss your concerns and then your nervousness will stop." D. “Would you like to discuss the concerns that you have?”

Correct Answer is D

Explanation

A. While calming, this response does not acknowledge the client’s concerns.

B. This statement may discourage the client and increase anxiety.

C. This response is dismissive and assumes that discussing concerns will eliminate nervousness.

D. Encouraging the client to verbalize concerns fosters trust and allows the nurse to address specific fears.

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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

A preoperative nurse is assessing a client prior to surgery. Which information would be most important for the nurse to relay to the surgical team?

Correct Answer is A

Explanation

The nurse is providing preoperative teaching. The client states, "I'm so nervous about my surgery". What is the best response by the nurse?

Correct Answer is D

Explanation

A nurse is caring for a client receiving Propofol for sedation during a medical procedure. Which assessment finding should the nurse prioritize when monitoring the client's response to Propofol?

What type of procedural information should be given to a client in preparation for ambulatory surgery? (Select All that Apply)

Exhibits A client is brought to post anesthesia care unit (PACU) after an invasive procedure. Based on the two sets of vital signs in the chart tab, which action is most appropriate by the nurse?

A client is receiving diazepam prior to a procedure. Which side effect should the nurse be most concerned about?

The nurse is caring for a client in the immediate post-operative period. On assessment, the nurse notes the client's bowels are protruding from the abdominal incision. Which intervention(s) by the nurse are most appropriate at this time? (Select All That Apply]

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

A nurse is caring for a client who has provided informed consent in preparation for a procedure. The client states, "I have decided not to have the procedure." Which action should the nurse take?

A client asks the nurse why they cannot consume food or liquids before surgery. Which response is most appropriate?