A nurse is caring for several clients in the post-operative unit. Which client should the nurse see first?

Client with oxygen saturation of 8996

Client with a blood pressure of 8.8/58 mm Hg

Client with temperature of 102 F

Client with respiratory rate of 12 breaths/min

Answer and Explanation

The Correct Answer is A

A. An oxygen saturation of 89% indicates hypoxemia, which poses an immediate threat to oxygenation and requires urgent intervention.

B. Hypotension is concerning but less critical than hypoxemia in this scenario.

C. A fever of 102°F requires monitoring and management but is not an immediate life threat.

D. A respiratory rate of 12 breaths/min is normal for an adult and does not require immediate action.

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Correct Answer is B

Explanation

A. While discussing alternatives may be beneficial later, it is not the priority action when consent is withdrawn.

B. Informing the provider ensures the client’s right to withdraw consent is respected and initiates appropriate communication.

C. Explaining why the procedure is necessary may feel coercive and does not prioritize the client’s autonomy.

D. Reminding the client about the signed consent form undermines their right to change their decision.

A. Administer insulin B. Place the client on oxygen C. Administer intravenous dantrolene D. Cover the client with a warm blanket E. Administer intravenous flumazenil F. Administer cold intravenous saline

Correct Answer is ["B","C","F"]

Explanation

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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A nurse is caring for several clients in the post-operative unit. Which client should the nurse see first?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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?

Correct Answer is B

Explanation

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

Correct Answer is ["B","C","F"]

Explanation

A nurse is caring for a client who is scheduled for a surgical procedure. 3 Exhibits The nurse is reviewing the client's electronic medical record. Which of the following findings places the client at risk for a surgical complication? Select all that apply.

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

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

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?

A nurse is educating a client on patient-controlled analgesia (PCA) pump. Which statement made by the client is correct?

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?

A nurse is caring for a client who has returned to the unit on a stretcher following a surgical procedure. The client's oxygen saturation is 85%. Which of the following actions should the nurse take first?

A nurse is working in a preoperative unit. Which task is most appropriate to be delegated to unlicensed assistive personnel (UAP)?