Which manifestations would the nurse expect for a client with a history of malignant hyperthermia (MH)?
Select all that apply.

Dysrhythmias

Hypertension

Muscle rigidity of jaw and upper chest

Tachypnea

Skin mottling

High body temperature

Answer and Explanation

Correct Answer : A,C,D,F

Muscle rigidity is a hallmark sign of malignant hyperthermia. It commonly affects the muscles of the jaw and upper chest.

Malignant hyperthermia can lead to rapid and shallow breathing, resulting in tachypnea. Malignant hyperthermia is characterized by a significant increase in body temperature, often exceeding 38.8°C (101.8°F).

Malignant hyperthermia can cause irregular heart rhythms or dysrhythmias, including tachycardia or arrhythmias.

The manifestations of hypertension and skin mottling are not typically associated with malignant hyperthermia. Hypertension (high blood pressure) is more commonly seen in conditions such as hypertensive emergencies or certain cardiovascular disorders. Skin mottling, which refers to irregular or patchy skin coloration, is not a specific manifestation of malignant hyperthermia.

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Correct Answer is ["C","D","E"]

Explanation

Crackles and wheezing indicate the presence of excessive mucus or secretions in the airways, which may require suctioning to clear the airway and improve breathing.

The presence of serosanguineous drainage on the tracheostomy dressing may indicate increased mucus production or bleeding, suggesting the need for suctioning to remove secretions or assess for any bleeding complications.

Regular suctioning is necessary to maintain a patent airway for patients with a tracheostomy. If suctioning was performed more than 4 hours ago, it may be time for another suctioning session to prevent the accumulation of secretions and maintain airway clearance. While a fever may indicate an underlying infection or inflammation, it does not specifically indicate the need for suctioning. The decision to suction should be based on the patient's respiratory assessment and the presence of respiratory symptoms.

While patient requests and preferences are important, the need for suctioning should be determined based on clinical indicators and assessment findings rather than solely relying on patient requests.

A. 30 minutes before starting the infusion. B. 30 minutes after infusion is complete C. Immediately before the next dose of Gentamicin D. 1 hour after infusion is complete

Correct Answer is B

Explanation

Gentamicin is an antibiotic that is usually administered via IV infusion. The peak level is the highest concentration of the medication in the bloodstream, and it is important to monitor it to ensure therapeutic levels are achieved without reaching toxic levels.

Drawing the peak level 30 minutes after the infusion is complete allows enough time for the medication to distribute throughout the body and reach its peak concentration. This timing provides an accurate representation of the highest drug concentration in the bloodstream. 30 minutes before starting the infusion: Drawing the peak level before starting the infusion would not accurately reflect the peak concentration of the medication in the bloodstream. Immediately before the next dose of Gentamicin: Drawing the peak level immediately before the next dose would not provide an accurate assessment of the highest drug concentration, as the levels would have started to decrease due to elimination.

1 hour after infusion is complete: Waiting for 1 hour after the infusion is complete may result in missing the actual peak concentration of the medication in the bloodstream, as it may have already started to decline.

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Which manifestations would the nurse expect for a client with a history of malignant hyperthermia (MH)? Select all that apply.

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Naxlex Comprehensive Predictor Exams

Which condition or changes indicate to the nurse that a patient with a tracheostomy requires suctioning? Select all that apply.

Correct Answer is ["C","D","E"]

Explanation

The nurse receives an order to draw a peak level on a patient prescribed Gentamicin via Intravenous (IV) infusion. When is the best time for the nurse to draw this peak level?

Correct Answer is B

Explanation

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Which manifestations would the nurse expect for a client with a history of malignant hyperthermia (MH)? Select all that apply.

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Which manifestations would the nurse expect for a client with a history of malignant hyperthermia (MH)?
Select all that apply.