During general surgery, a nurse observes tachycardia, muscle rigidity, respiratory acidosis, and hyperthermia in a patient. Which complication of surgery does the nurse suspect?
Surgical site infection
Hypercapnia
Malignant hyperthermia
Hypertensive crisis
The Correct Answer is C
Choice A reason: Surgical site infection is an infection that occurs after surgery in the part of the body where the surgery took place.
Choice B reason: Hypercapnia is the presence of higher-than-normal levels of carbon dioxide in the blood.
Choice C reason: Malignant hyperthermia is a life-threatening pharmacogenetic reaction to certain general anesthesia, characterized by hypermetabolism resulting in high body temperature, rigid muscles, and rapid heart rate.
Choice D reason: Hypertensive crisis is a severe elevation in blood pressure, often requiring immediate medical attention.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Choice A reason: Purple lesions could be associated with more severe venous disease or other conditions, not necessarily minor chronic venous disease.
Choice B reason: Ankle edema is a common finding in chronic venous disease due to the pooling of blood in the lower extremities.
Choice C reason: Telangiectasias, also known as spider veins, are commonly seen in chronic venous disease as they are small, visible blood vessels that can be part of the condition.
Choice D reason: Palpable nodules are not typically associated with minor chronic venous disease and could indicate other medical issues.
Correct Answer is C
Explanation
Choice A reason: Using the incentive spirometer is important, but it is not specifically related to deep breathing and coughing exercises.
Choice B reason: Breathing deeply and coughing every 4 hours is part of postoperative care, but it does not indicate understanding of the technique to protect the incision.
Choice C reason: Splinting the incision with a pillow while coughing is a recommended technique to support the incision and reduce pain during coughing, indicating an understanding of the instructions.
Choice D reason: Lying flat is not recommended for deep breathing and coughing exercises as it can inhibit lung expansion and is not conducive to effective coughing.
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