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 A

Explanation

A. “Please let me know how the client does after each ambulation." B. "Ambulate the client every four hours." C. “Come and get me for lunch.” D. “Be certain to use a gait belt when performing this activity." E. “Each ambulation should last 10 minutes"

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

Explanation

The teaching that the nurse will provide to the Patient Care Technician (PCT) when delegating ambulation for a client includes:

● "Please let me know how the client does after each ambulation": This instruction ensures that the PCT communicates any relevant information or changes observed during or after the ambulation, allowing the nurse to stay informed about the client's condition.

● "Be certain to use a gait belt when performing this activity": Using a gait belt is an important safety measure during ambulation. It helps provide support and stability for the client and allows the PCT to maintain control and assist in case the client becomes unsteady or falls.

● "Each ambulation should last 10 minutes": Providing a specific time frame for the ambulation helps guide the PCT in determining the duration of the activity. This ensures consistency in the care provided and allows for proper scheduling of ambulation throughout the day.

The other options provided ("Ambulate the client every four hours," "Come and get me for lunch") do not pertain to specific instructions or teaching related to the delegated ambulation task. The frequency of ambulation and the PCT's lunch break are not relevant to the teaching for this specific task.

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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.

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