During surgery, the nurse makes the following observations about the patient:
- Pulse rises from 68 beats per minute to 110 beats per minute.
- Temperature increases from 36.5 C to 38.50
- Muscles appear rigid.
The circulating nurse anticipates preparation of:
Naloxone (Narcan)
Dantrolene (Dentrum)
Furosemide (Lasix)
Flumazenil (Romazicon)
Flumazenil (Romazicon)
The Correct Answer is B
The given observations suggest the occurrence of malignant hyperthermia (MH), a potentially life-threatening reaction to certain medications used during anesthesia. MH is characterized by an increase in heart rate (tachycardia), elevated body temperature (hyperthermia), and muscle rigidity. The primary treatment for MH is the administration of dantrolene, which is a skeletal muscle relaxant that helps to counteract the effects of the reaction.
Naloxone (Narcan) is an opioid receptor antagonist used to reverse the effects of opioid overdose or excessive opioid sedation.
Furosemide (Lasix) is a diuretic used to treat conditions such as edema and high blood pressure.
Flumazenil (Romazicon) is a benzodiazepine receptor antagonist used to reverse the effects of benzodiazepine overdose or excessive sedation.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
These symptoms suggest the possibility of deep vein thrombosis (DVT), which is a potentially serious complication following surgery. DVT occurs when a blood clot forms in a deep vein, commonly in the lower extremities. The symptoms of a swollen, warm, and painful calf can indicate the presence of a DVT.
DVT is a medical emergency that requires immediate attention and intervention to prevent further complications such as a pulmonary embolism (where the blood clot travels to the lungs). Prompt evaluation and treatment, such as anticoagulant therapy, are necessary to prevent complications
Correct Answer is ["1.4"]
Explanation
We know that 7,000 units is equivalent to 5,000 units per ml. So, we can set up the proportion:
7,000 units / 5,000 units per ml = x ml / 1 ml x = 7,000 / 5,000
x = 1.4
Therefore, the nurse should administer 1.4 milliliters (ml) of heparin.
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